Westside Nephrology Medical Group Inc
LBN: Westside Nephrology Medical Group Inc
Westside Nephrology Medical Group Inc is an health care organization with primary practice located at 1301 20Th St Ste 200 , Santa Monica CA 90404-2088. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty.
Westside Nephrology Medical Group Inc can be contacted via phone (310) 829-3639, or through Grabie, Morris via phone (310) 829-3639.
Contact Information
Primary practice address
1301 20Th St Ste 200
Santa Monica CA 90404-2088
Phone: (310) 829-3639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G34196 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G34196 | California |
Profile Details
| NPI number | 1760696934 |
|---|---|
| LBN Legal business name | Westside Nephrology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Grabie, Morris Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Sep 10th, 2014 - about 10 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 | 1760696934 | NPPES |
| California | MEDICAID | GR0063610 | |
| California | MEDICAID | ZZZ24192Z |
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