Balboa Nephrology Medical Group Inc
LBN: Balboa Nephrology Medical Group Inc
Balboa Nephrology Medical Group Inc is an health care organization with primary practice located at 4225 Executive Sq Ste 450 , La Jolla CA 92037-8411. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Balboa Nephrology Medical Group Inc can be contacted via phone (858) 810-8000, or through Edelstein, Shaun via phone (858) 810-8000.
Contact Information
Primary practice address
4225 Executive Sq Ste 450
La Jolla CA 92037-8411
Phone: (858) 810-8000
Fax: (858) 268-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X |
Profile Details
| NPI number | 1316997505 |
|---|---|
| LBN Legal business name | Balboa Nephrology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Edelstein, Shaun |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 29th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316997505 | NPPES |
| California | Other | ZZZ04938Z | MEDICARE PTAN, NO CA |
| California | Other | W1487 | MEDICARE PTAN, NO CA |
| California | Other | CB251966 | MEDICARE PTAN, NO CA |
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