Diablo Nephrology Medical Group, Inc

LBN: Diablo Nephrology Medical Group, Inc
Diablo Nephrology Medical Group, Inc is an health care organization with primary practice located at 2222 East Street Ste 305, Concord CA 94520-2066. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Diablo Nephrology Medical Group, Inc can be contacted via phone (925) 686-1230, or through Hutton, Fawn via phone (925) 686-0315.

Contact Information

Primary practice address
2222 East Street Ste 305 Concord CA 94520-2066
Fax: (925) 686-8443
Website:
Authorized official contact:
Name: Hutton, Fawn MBA

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1194734731
LBN Legal business name Diablo Nephrology Medical Group, Inc
DBA Doing business as
Authorized official Hutton, Fawn MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Sep 15th, 2015 - about 10 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 1194734731 NPPES
California MEDICAID GR0020610

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