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CANON MEDICAL GROUP INC NPI 1023097631


NPI Information

NPI: 1023097631
Provider Name: CANON MEDICAL GROUP INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
414 N CAMDEN DR
SUITE 775
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 274-7300
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CANON MEDICAL GROUP INC is a nephrology internal medicine in Beverly Hills, 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. CANON MEDICAL GROUP INC NPI is 1023097631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 N CAMDEN DR
SUITE 775
BEVERLY HILLS, CA
ZIP 90210-532
Phone: (310) 274-7300
Fax: (310) 274-7301

The provider's authorized official is Bernard Salick .
The authorized official title is Physician and has the following contact phone number (310) 274-3400.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 12/17/2015.


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
1207RN0300XInternal MedicineNephrologyW7122CALIFORNIAYes

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
1W7122MEDICARE PINCALIFORNIA

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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