Kenneth C Nieberg Md Inc

LBN: Kenneth C Nieberg Md Inc
Kenneth C Nieberg Md Inc is an health care organization with primary practice located at 13222 Bloomfield Ave Department Of Pathology, Norwalk CA 90650-3249. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Kenneth C Nieberg Md Inc can be contacted via phone (323) 462-2271, or through Nieberg, Kenneth C via phone (323) 267-0477.

Contact Information

Primary practice address
13222 Bloomfield Ave Department Of Pathology Norwalk CA 90650-3249
Phone: (323) 462-2271
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nieberg, Kenneth C Doctor of Medicine (MD)
Phone: (323) 267-0477

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1396863080
LBN Legal business name Kenneth C Nieberg Md Inc
DBA Doing business as
Authorized official Nieberg, Kenneth C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 1st, 2010 - 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 1396863080 NPPES
California MEDICAID GR0023263

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