Kidney Consultants Medical Group, Inc

LBN: Kidney Consultants Medical Group, Inc
Kidney Consultants Medical Group, Inc is an health care organization with primary practice located at 11550 Indian Hills Rd Suite 371, Mission Hills CA 91345-1252. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kidney Consultants Medical Group, Inc can be contacted via phone (818) 365-1194, or through Abdeen, Omaran via phone (818) 365-1194.

Contact Information

Primary practice address
11550 Indian Hills Rd Suite 371 Mission Hills CA 91345-1252
Fax: (818) 898-3835
Website:
Authorized official contact:
Name: Abdeen, Omaran Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427120682
LBN Legal business name Kidney Consultants Medical Group, Inc
DBA Doing business as
Authorized official Abdeen, Omaran Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 6th, 2018 - about 6 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 1427120682 NPPES
California MEDICAID GR0068770

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