Southern Calif. Nephrologists Medical Associates Inc.

LBN: Kidney Specialists Medical Corporation
Southern Calif. Nephrologists Medical Associates Inc. is an health care organization with primary practice located at 101 E Beverly Blvd Suite #304, Montebello CA 90640-4300. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Kidney Specialists Medical Corporation can be contacted via phone (323) 722-7418, or through Maryska, Dorsa F. via phone (323) 722-7418.

Contact Information

Primary practice address
101 E Beverly Blvd Suite #304 Montebello CA 90640-4300
Fax: (323) 722-7894
Website:
Authorized official contact:
Name: Maryska, Dorsa F.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X California

Profile Details

NPI number 1184735235
LBN Legal business name Kidney Specialists Medical Corporation
DBA Doing business as Southern Calif. Nephrologists Medical Associates Inc.
Authorized official Maryska, Dorsa F.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 8th, 2023 - about 2 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 1184735235 NPPES
California MEDICAID GR0080920

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