Organization
PEGASUS DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH CARTER MPH, RD (VICE PRESIDENT)
(661) 342-8059
Entity
Organization
Contact information
Practice address
3101 PEGASUS DR STE 100, BAKERSFIELD, CA 93308-6815
(661) 615-4200
(661) 615-4299
Mailing address
1801 16TH STREET, SUITE B, BAKERSFIELD, CA 93301
(661) 326-8060
(661) 326-1349
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001112
CA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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Other
Enumeration date
12/17/2007
Last updated
08/07/2014
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