Premier Nephrology Medical Group, Inc.
LBN: Premier Nephrology Medical Group, Inc.
Premier Nephrology Medical Group, Inc. is an health care organization with primary practice located at 1400 S Grand Ave Ste. 800, Los Angeles CA 90015-3048. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Premier Nephrology Medical Group, Inc. can be contacted via phone (213) 748-1414, or through Greenfield, Bruce A via phone (213) 742-1414.
Contact Information
Primary practice address
1400 S Grand Ave Ste. 800
Los Angeles CA 90015-3048
Phone: (213) 748-1414
Fax: (213) 749-4021
Website:
Authorized official contact:
Name: Greenfield, Bruce A Doctor of Medicine (MD)
Phone: (213) 742-1414
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X |
Profile Details
| NPI number | 1316079106 |
|---|---|
| LBN Legal business name | Premier Nephrology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Greenfield, Bruce A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 13th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316079106 | NPPES |
| California | MEDICAID | GR0065330 |
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