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INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC. NPI 1497759104


NPI Information

NPI: 1497759104
Provider Name: INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D0551215

Address:
3291 SKYPARK DR
TORRANCE, CA
ZIP 90505
Phone: (310) 325-4517
Get Directions

INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC. is a nephrology internal medicine in Torrance, 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. INTERNAL MEDICINE AND NEPHROLOGY MED. GROUP INC. NPI is 1497759104. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3291 SKYPARK DR
TORRANCE, CA
ZIP 90505-004
Phone: (310) 325-4517
Fax: (310) 325-1144

The provider's authorized official is Vinh T Cam .
The authorized official title is M.d. and has the following contact phone number (310) 325-4517.

The CLIA number assigned to this NPI record is 05D0551215 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/2/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1005XDietitian, RegisteredNutrition, RenalNo
2207RN0300XInternal MedicineNephrologyBUS-0041314CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ72355ZMEDICAIDCALIFORNIA

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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