Pacific Medical And Nephrology Associates Inc.

LBN: Pacific Medical And Nephrology Associates Inc.
Pacific Medical And Nephrology Associates Inc. is an health care organization with primary practice located at 2001 Santa Monica Blvd Suite 765W, Santa Monica CA 90404-2102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Pacific Medical And Nephrology Associates Inc. can be contacted via phone (310) 453-4599, or through Gordon, Earl Mark via phone (310) 453-4599.

Contact Information

Primary practice address
2001 Santa Monica Blvd Suite 765W Santa Monica CA 90404-2102
Phone: (310) 453-4599
Fax: (310) 453-6620
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Earl Mark Doctor of Medicine (MD)
Phone: (310) 453-4599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G35140 California

Profile Details

NPI number 1891756508
LBN Legal business name Pacific Medical And Nephrology Associates Inc.
DBA Doing business as
Authorized official Gordon, Earl Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 9th, 2020 - about 5 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 1891756508 NPPES
California MEDICAID ZZZ73491Z

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