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VICTOR G. CARABELLO MD INC NPI 1710070099


NPI Information

NPI: 1710070099
Provider Name: VICTOR G. CARABELLO, MD INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D2169648

Address:
1700 E. CESAR CHAVEZ AVENUE
L200
LOS ANGELES, CA
ZIP 90033
Phone: (323) 526-2880
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VICTOR G. CARABELLO, MD INC 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. VICTOR G. CARABELLO, MD INC NPI is 1710070099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 E. CESAR CHAVEZ AVENUE
L200
LOS ANGELES, CA
ZIP 90033-467
Phone: (323) 526-2880
Fax: (323) 526-3885

The provider's authorized official is Victor G. Carabello .
The authorized official title is President and has the following contact phone number (323) 526-2880.

The CLIA number assigned to this NPI record is 05D2169648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2006 and was last updated on 9/15/2014.


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 MedicineNephrologyG74827CALIFORNIAYes

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
1W14738OTHERCALIFORNIAMEDICARE GROUP PTAN
2G66103MEDICARE UPINCALIFORNIA
3GR0086300MEDICAIDCALIFORNIA
4W14738MEDICARE 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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