WESTSIDE NEPHROLOGY MEDICAL GROUP INC NPI 1760696934

NPI Information

NPI: 1760696934
Provider Name: WESTSIDE NEPHROLOGY MEDICAL GROUP INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1301 20TH ST STE 200
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-3639
Get Directions

WESTSIDE NEPHROLOGY MEDICAL GROUP INC is a nephrology internal medicine in Santa Monica, 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. WESTSIDE NEPHROLOGY MEDICAL GROUP INC NPI is 1760696934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1301 20TH ST STE 200
SANTA MONICA, CA
ZIP 90404-088
Phone: (310) 829-3639

The provider's authorized official is Morris Grabie .
The authorized official title is Owner President and has the following contact phone number (310) 829-3639.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 9/10/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		G34196	CALIFORNIA	No
2	207RN0300X	Internal Medicine	Nephrology	G34196	CALIFORNIA	Yes

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
1	ZZZ24192Z	MEDICAID	CALIFORNIA
2	GR0063610	MEDICAID	CALIFORNIA

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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