Pacific Nephrology Medical Group

LBN: Pacific Nephrology Medical Group
Pacific Nephrology Medical Group is an health care organization with primary practice located at 323 N Prairie Ave # 334 , Inglewood CA 90301-4502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Pacific Nephrology Medical Group can be contacted via phone (310) 674-8600, or through Healy, Michael Dylan via phone (310) 674-8600.

Contact Information

Primary practice address
323 N Prairie Ave # 334 Inglewood CA 90301-4502
Phone: (310) 674-8600
Fax: (310) 671-9883
Website:
Map and Directions
Authorized official contact:
Name: Healy, Michael Dylan Doctor of Medicine (MD)
Phone: (310) 674-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1922013515
LBN Legal business name Pacific Nephrology Medical Group
DBA Doing business as
Authorized official Healy, Michael Dylan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 21st, 2009 - about 15 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 1922013515 NPPES
California MEDICAID GR0000360

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