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

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XG83840 (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

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.