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KIDNEY CARE A MEDICAL CORP NPI 1184737561


NPI Information

NPI: 1184737561
Provider Name: KIDNEY CARE A MEDICAL CORP
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
8540 S SEPULVEDA BLVD STE 1100
LOS ANGELES, CA
ZIP 90045
Phone: (310) 914-9150
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KIDNEY CARE A MEDICAL CORP is a nephrology internal medicine in Los Angeles, 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. KIDNEY CARE A MEDICAL CORP NPI is 1184737561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8540 S SEPULVEDA BLVD STE 1100
LOS ANGELES, CA
ZIP 90045-819
Phone: (310) 914-9150
Fax: (310) 914-9705

The provider's authorized official is Bialick Tabibian .
The authorized official title is Medical Doctor and has the following contact phone number (310) 914-9150.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


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
1207RN0300XInternal MedicineNephrologyA47826CALIFORNIAYes

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
100A478261MEDICAIDCALIFORNIA

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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