CALIFORNIA KIDNEY MEDICAL GROUP INC NPI 1659537835

NPI Information

NPI: 1659537835
Provider Name: CALIFORNIA KIDNEY MEDICAL GROUP INC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
18546 ROSCOE BLVD
SUITE 120
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 886-3773
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CALIFORNIA KIDNEY MEDICAL GROUP INC is a vascular surgery surgery in Northridge, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CALIFORNIA KIDNEY MEDICAL GROUP INC NPI is 1659537835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18546 ROSCOE BLVD
SUITE 120
NORTHRIDGE, CA
ZIP 91324-663
Phone: (818) 886-3773

The provider's authorized official is Lily Krastein .
The authorized official title is Administrator and has the following contact phone number (805) 433-7507.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 8/6/2008.

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
1	2086S0129X	Surgery	Vascular Surgery	G83840	CALIFORNIA	Yes

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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