ATLANTIC EXPRESS CO INC NPI 1376774935

NPI Information

  • NPI: 1376774935
  • Provider Name: ATLANTIC EXPRESS CO INC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 4252 BONITA RD
    SUITE 82
    BONITA, CA
    ZIP 91902
  • Phone: (619) 829-1271

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NPI Details

ATLANTIC EXPRESS CO INC is a nephrology internal medicine in Bonita, 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. ATLANTIC EXPRESS CO INC NPI is 1376774935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4252 BONITA RD
SUITE 82
BONITA, CA
ZIP 91902-420
Phone: (619) 829-1271

The provider's authorized official is Brian J Carrie .
The authorized official title is Ceo and has the following contact phone number (619) 829-1271.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 10/14/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyA33408CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CG583AMEDICARE PINCALIFORNIA

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This page was last updated on: 11/21/2025

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