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 13990 Bear Fence Ct , Moorpark CA 93021-5022. 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 (818) 718-2301, or through Van Bruck, Joyce via phone (818) 400-6396.

Contact Information

Primary practice address
13990 Bear Fence Ct Moorpark CA 93021-5022
Phone: (818) 718-2301
Fax: (818) 718-2311
Website:
Map and Directions
Authorized official contact:
Name: Van Bruck, Joyce
Phone: (818) 400-6396

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1760586705
LBN Legal business name California Kidney Medical Group, Inc
DBA Doing business as
Authorized official Van Bruck, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Nov 30th, 2016 - about 9 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 1760586705 NPPES
California MEDICAID GR0087560

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