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05D0580438 CLIA NUMBER - MAGDY NAWAR MD DBA PACIFIC NEPHROLOGY, INTERNAL MEDICINE INC

Laboratory Demographics

CLIA Number: 05D0580438

Facility Name: MAGDY NAWAR MD DBA PACIFIC NEPHROLOGY, INTERNAL MEDICINE INC

Facility Address:
26800 CROWN VALLEY PKWY # 485
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: 949 364-5830

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1881799096

Taxonomy: 207RN0300X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 05D0580438
LAB Type Physician Office
Facility Name MAGDY NAWAR MD DBA PACIFIC NEPHROLOGY, INTERNAL MEDICINE INC
Street 26800 CROWN VALLEY PKWY # 485
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 364-5830
CertificateType 4
CertificateEffectiveDate 8/1/2022
CertificateExpirationDate 7/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024