Organization
PEGASUS DIALYSIS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRUZ BARELA JR. RN (DIALYSIS ADMINISTRATOR)
(661) 203-1435
Entity
Organization
Contact information
Practice address
3101 PEGASUS DR, BAKERSFIELD, CA 93308-6815
(661) 203-1435
Mailing address
1801 16TH ST, SUITE 'B', BAKERSFIELD, CA 93301-5002
(661) 326-8060
(661) 326-1349
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2007
Last updated
09/03/2007
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