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 4081 E Olympic Blvd , Los Angeles CA 90023-3330. 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) 267-0477, or through Nieberg, Kenneth C via phone (323) 267-0477.
Contact Information
Primary practice address
4081 E Olympic Blvd
Los Angeles CA 90023-3330
Phone: (323) 267-0477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1801857834 |
|---|---|
| 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 29th, 2006 |
| Last updated | Jun 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801857834 | NPPES |
| California | MEDICAID | GR0023264 |
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