El Camino Renal Medical Group, Inc

LBN: El Camino Renal Medical Group, Inc
El Camino Renal Medical Group, Inc is an health care organization with primary practice located at 515 South Dr Suite 12, Mountain View CA 94040-4204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. El Camino Renal Medical Group, Inc can be contacted via phone (650) 988-7944, or through Carrie, Brian James via phone (650) 988-7944.

Contact Information

Primary practice address
515 South Dr Suite 12 Mountain View CA 94040-4204
Phone: (650) 988-7944
Fax: (650) 964-3608
Website:
Map and Directions
Authorized official contact:
Name: Carrie, Brian James Doctor of Medicine (MD)
Phone: (650) 988-7944

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1770560914
LBN Legal business name El Camino Renal Medical Group, Inc
DBA Doing business as
Authorized official Carrie, Brian James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 31st, 2017 - about 8 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 1770560914 NPPES
California MEDICAID ZZZ77355Z

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