Organization · Type 2 NPI

Kidney Disease Medical Group Inc

Specialist · Glendale, CA

NPI number 1740392810 Active

Practice location

1505 Wilson Ter, Suite #155
Glendale, CA 91206-4071

Fax (818) 500-4065

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740392810

Kidney Disease Medical Group Inc's National Provider Identifier is 1740392810, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, CA. The record was last updated on Apr 28, 2014.