PACIFIC NEPHROLOGY MEDICAL GROUP NPI 1922013515

NPI Information

PACIFIC NEPHROLOGY MEDICAL GROUP is a nephrology internal medicine in Inglewood, 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 NEPHROLOGY MEDICAL GROUP NPI is 1922013515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 N PRAIRIE AVE # 334
INGLEWOOD, CA
ZIP 90301-502
Phone: (310) 674-8600
Fax: (310) 671-9883

The provider's authorized official is Michael Dylan Healy .
The authorized official title is Partner and has the following contact phone number (310) 674-8600.

The CLIA number assigned to this NPI record is 05D0705927 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 9/21/2009.

Taxonomy Codes

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Other Identifiers

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