SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC. NPI 1205934783

NPI Information

NPI: 1205934783
Provider Name: SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
12665 GARDEN GROVE BLVD
STE 211
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 636-2890
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SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC. is a nephrology internal medicine in Garden Grove, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC. NPI is 1205934783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12665 GARDEN GROVE BLVD
STE 211
GARDEN GROVE, CA
ZIP 92843-901
Phone: (714) 636-2890
Fax: (714) 636-2909

The provider's authorized official is Elizabeth A Gonzalez .
The authorized official title is Administrator and has the following contact phone number (714) 636-2890.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/16/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	G24122	CALIFORNIA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ75439Z	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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