Organization · Type 2 NPI

Canon Medical Group Inc

Nephrology Physician · Beverly Hills, CA

NPI number 1023097631 Active

Practice location

414 N Camden Dr, Suite 775
Beverly Hills, CA 90210-4532

Fax (310) 274-7301

Mailing address

9777 Wilshire Blvd, Ste 512
Beverly Hills, CA 90212-1905

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XW7122 (CA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1023097631

Canon Medical Group Inc's National Provider Identifier is 1023097631, issued on Jan 11, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Beverly Hills, CA. The record was last updated on Dec 17, 2015.