Organization
CENTRAL NEPHROLOGY MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BISOGNO (BUSINESS MANAGER)
(661) 323-2847
Entity
Organization
Contact information
Practice address
5030 OFFICE PARK DRIVE, SUITE A, BAKERSFIELD, CA 93309-0612
(661) 323-2847
(661) 323-0566
Mailing address
5030 OFFICE PARK DRIVE, SUITE A, BAKERSFIELD, CA 93309-0612
(661) 323-2847
(661) 323-0566
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ74656Z
—
CA
Enumeration date
11/07/2006
Last updated
08/22/2020
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