PACIFIC MEDICAL AND NEPHROLOGY ASSOCIATES INC. NPI 1891756508

NPI Information

PACIFIC MEDICAL AND NEPHROLOGY ASSOCIATES 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. PACIFIC MEDICAL AND NEPHROLOGY ASSOCIATES INC. NPI is 1891756508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 SANTA MONICA BLVD
SUITE 765W
SANTA MONICA, CA
ZIP 90404-102
Phone: (310) 453-4599
Fax: (310) 453-6620

The provider's authorized official is Earl Mark Gordon .
The authorized official title is President Of Corporation and has the following contact phone number (310) 453-4599.

The CLIA number assigned to this NPI record is 05D0542733 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 6/9/2020.

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:

Other Identifiers

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