Pegasus Dui San Berdardnio | |
2020 N Waterman Ave Ste C San Bernardino CA 92404-4849 | |
(909) 881-1570 | |
Not Available |
Full Name | Pegasus Dui San Berdardnio |
---|---|
Speciality | Community/behavioral Health |
Location | 2020 N Waterman Ave Ste C, San Bernardino, California |
Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
Authorized Official Contact | 8585732600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pegasus Dui San Berdardnio 9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | Pegasus Dui San Berdardnio 2020 N Waterman Ave Ste C San Bernardino CA 92404-4849 Ph: (909) 881-1570 |
NPI Number | 1881722429 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/27/2020 |
Certification Date | 08/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881722429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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