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WEST COAST RENAL MEDICAL GROUP INC NPI 1740637875


NPI Information

NPI: 1740637875
Provider Name: WEST COAST RENAL MEDICAL GROUP, INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
2925 SYCAMORE DR
SUITE 160
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 584-0177
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WEST COAST RENAL MEDICAL GROUP, INC is a nephrology internal medicine in Simi Valley, 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. WEST COAST RENAL MEDICAL GROUP, INC NPI is 1740637875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2925 SYCAMORE DR
SUITE 160
SIMI VALLEY, CA
ZIP 93065-207
Phone: (805) 584-0177
Fax: (805) 584-1179

The provider's authorized official is Jieshi Yan .
The authorized official title is President and has the following contact phone number (818) 718-2301.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 12/19/2017.


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
1207R00000XInternal MedicineNo
2207RN0300XInternal MedicineNephrologyYes

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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