SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER NPI 1891235578

NPI Information

NPI: 1891235578
Provider Name: SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 05D1040918

Address:
23141 MOULTON PKWY STE 102
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 916-9100
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SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER is a public health or welfare in Laguna Hills, CA. SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER NPI is 1891235578. The provider is registered as an organization entity type.

The provider's business location address is:

23141 MOULTON PKWY STE 102
LAGUNA HILLS, CA
ZIP 92653-241
Phone: (949) 916-9100
Fax: (949) 916-0091

The provider's authorized official is Raymond Ku Jay Chang .
The authorized official title is Medical Director and has the following contact phone number (949) 916-9100.

The CLIA number assigned to this NPI record is 05D1040918 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare		202278889	CALIFORNIA	No
2	251K00000X	Public Health or Welfare				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: 4/28/2024

NPI Synchronization or Removal

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