California Kidney Medical Group Inc

LBN: California Kidney Medical Group Inc
California Kidney Medical Group Inc is an health care organization with primary practice located at 227 W Janss Rd Suite 110, Thousand Oaks CA 91360-1848. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. California Kidney Medical Group Inc can be contacted via phone (805) 496-6051, or through Krastein, Lily via phone (805) 433-7777.

Contact Information

Primary practice address
227 W Janss Rd Suite 110 Thousand Oaks CA 91360-1848
Phone: (805) 496-6051
Fax: (805) 496-6785
Website:
Map and Directions
Authorized official contact:
Name: Krastein, Lily
Phone: (805) 433-7777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1083726871
LBN Legal business name California Kidney Medical Group Inc
DBA Doing business as
Authorized official Krastein, Lily
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 29th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083726871 NPPES
California MEDICAID GR0087560

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