Organization
BAKERSFIELD DIALYSIS CENTER MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BISOGNO (BUSINESS MANAGER)
(661) 325-4741
Entity
Organization
Contact information
Practice address
5143 OFFICE PARK DRIVE, BAKERSFIELD, CA 93309-0660
(661) 325-4741
(661) 323-0566
Mailing address
5143 OFFICE PARK DRIVE, BAKERSFIELD, CA 93309-0660
(661) 325-4741
(661) 323-0566
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC 02673F
—
CA
Enumeration date
08/29/2006
Last updated
05/15/2008
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