Coast Nephrology Medical Group Inc.

LBN: Coast Nephrology Medical Group Inc.
Coast Nephrology Medical Group Inc. is an health care organization with primary practice located at 3780 Kilroy Airport Way Ste 115, Long Beach CA 90806-2458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Coast Nephrology Medical Group Inc. can be contacted via phone (562) 595-7426, or through Erlbaum, Alan I via phone (562) 595-7426.

Contact Information

Primary practice address
3780 Kilroy Airport Way Ste 115 Long Beach CA 90806-2458
Phone: (562) 595-7426
Fax: (562) 989-3054
Website:
Map and Directions
Authorized official contact:
Name: Erlbaum, Alan I Doctor of Medicine (MD)
Phone: (562) 595-7426

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X BU94027460 California

Profile Details

NPI number 1053317826
LBN Legal business name Coast Nephrology Medical Group Inc.
DBA Doing business as
Authorized official Erlbaum, Alan I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 2nd, 2007 - about 18 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 1053317826 NPPES
California MEDICAID GR0055750

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