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AVICCENNA MEDICAL GROUP NPI 1124264635


NPI Information

NPI: 1124264635
Provider Name: AVICCENNA MEDICAL GROUP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
435 N BEDFORD DR
SUITE # 312
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 858-1800
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AVICCENNA MEDICAL GROUP 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. AVICCENNA MEDICAL GROUP NPI is 1124264635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 N BEDFORD DR
SUITE # 312
BEVERLY HILLS, CA
ZIP 90210-321
Phone: (310) 858-1800

The provider's authorized official is Seyed Farhad N Chimeh .
The authorized official title is President and has the following contact phone number (310) 858-1800.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 7/1/2009.


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 MedicineNephrologyA100198CALIFORNIAYes

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
1H94109MEDICARE UPIN
22074290MEDICAIDCALIFORNIA
3A100198MEDICARE 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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