L.A. COUNTY NEPHROLOGY ASSOCIATES A MEDICAL CORPORATION NPI 1083649651

NPI Information

L.A. COUNTY NEPHROLOGY ASSOCIATES A MEDICAL CORPORATION is a specialist in Montebello, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. L.A. COUNTY NEPHROLOGY ASSOCIATES A MEDICAL CORPORATION NPI is 1083649651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3114 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-217
Phone: (323) 726-1317
Fax: (323) 726-3870

The provider's authorized official is Sandy Marino .
The authorized official title is Office Manager and has the following contact phone number (323) 726-3868.

The CLIA number assigned to this NPI record is 05D1013560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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