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 50 Moreland Rd , Simi Valley CA 93065-1659. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. California Kidney Medical Group Inc can be contacted via phone (805) 433-7360, or through Krastein, Lily via phone (805) 433-7507.

Contact Information

Primary practice address
50 Moreland Rd Simi Valley CA 93065-1659
Phone: (805) 433-7360
Fax: (805) 306-0620
Website:
Map and Directions
Authorized official contact:
Name: Krastein, Lily
Phone: (805) 433-7507

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF 320950 California

Profile Details

NPI number 1649291774
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 Jul 22nd, 2006
Last updated Feb 26th, 2009 - about 15 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 1649291774 NPPES
California MEDICAID LAB23131F

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