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A.V. MERIDIEN MEDICAL GROUP INC NPI 1023191780


NPI Information

NPI: 1023191780
Provider Name: A.V. MERIDIEN MEDICAL GROUP, INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1007 WEST AVE M-14
SUITE B-1
PALMDALE, CA
ZIP 93551
Phone: (661) 265-7019
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A.V. MERIDIEN MEDICAL GROUP, INC is a nephrology internal medicine in Palmdale, 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. A.V. MERIDIEN MEDICAL GROUP, INC NPI is 1023191780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1007 WEST AVE M-14
SUITE B-1
PALMDALE, CA
ZIP 93551
Phone: (661) 265-7019
Fax: (661) 265-7089

The provider's authorized official is Linda Mann .
The authorized official title is Administrator and has the following contact phone number (661) 265-7019.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/4/2015.


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 MedicineNephrologyA41776CALIFORNIAYes

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
1A85704MEDICARE UPINCALIFORNIA
2W13839MEDICARE UPINCALIFORNIA
3GR0071850MEDICAIDCALIFORNIA

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: 11/14/2023

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