Organization · Type 2 NPI
California Kidney Medical Group Inc
Vascular Surgery Physician · Northridge, CA
NPI number
1659537835
Active
Practice location
18546 Roscoe Blvd, Suite 120
Northridge, CA 91324-4663
Mailing address
PO Box 940838
Simi Valley, CA 93094-0838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | G83840 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
23 other providers at this address
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- Michael W. Barsom, Md, AmcPsychiatry Physician Northridge, CA NPI 1184785297
- Minas Kochumian, Md, A Medical CorporationNon-Pharmacy Dispensing Site Northridge, CA NPI 1285946046
- Philip S Shore M D IncFamily Medicine Physician Northridge, CA NPI 1568481315
- Beverly CarbonePediatric Nurse Practitioner Northridge, CA NPI 1447020375
- Diana K. ShoreNutrition Education Nutritionist Northridge, CA NPI 1194758664
- Ehab S. Yacoub, MDPsychiatry Physician Northridge, CA NPI 1295884088
- Elenita Burgos Lesperance, MFTMarriage & Family Therapist Northridge, CA NPI 1568554541
About NPI 1659537835
California Kidney Medical Group Inc's National Provider Identifier is 1659537835, issued on Aug 6, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Northridge, CA. The record was last updated on Aug 6, 2008.