Organization
CENTRAL NEPHROLOGY MEDICAL GROUP
Active
Parent organization
CENTRAL NEPHROLOGY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL NEPHROLOGY MEDICAL GROUP
Authorized official
DR. HAROLD J BAER M.D. (VICE PRESIDENT)
(661) 325-4754
Entity
Organization
Contact information
Practice address
5030 OFFICE PARK DR, BAKERSFIELD, CA 93309-0612
(661) 325-4754
(661) 323-0566
Mailing address
5030 OFFICE PARK DR, BAKERSFIELD, CA 93309-0612
(661) 325-4754
(661) 323-0566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB86566F
—
CA
Enumeration date
03/17/2008
Last updated
03/17/2008
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