Itsara And Liu Md'S

LBN: Modesto Kidney Medical Group
Itsara And Liu Md'S is an health care organization with primary practice located at 305 E Granger Ave Ste 202, Modesto CA 95350-4344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Modesto Kidney Medical Group can be contacted via phone (209) 526-1606, or through Meischke, Lori D via phone (541) 706-9073.

Contact Information

Primary practice address
305 E Granger Ave Ste 202 Modesto CA 95350-4344
Phone: (209) 526-1606
Fax: (209) 526-1677
Website:
Map and Directions
Authorized official contact:
Name: Meischke, Lori D
Phone: (541) 706-9073

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01031187 02 California

Profile Details

NPI number 1306848569
LBN Legal business name Modesto Kidney Medical Group
DBA Doing business as Itsara And Liu Md'S
Authorized official Meischke, Lori D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 29th, 2013 - about 11 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 1306848569 NPPES
California MEDICAID GR0026660

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