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Balboa Nephrology Medical Group Inc
Urology Physician in La Jolla, California
NPI 1316997505

Balboa Nephrology Medical Group Inc is a Urology Physician based in La Jolla, CA. Balboa Nephrology Medical Group Inc practices in La Jolla, CA. The NPI Number for Balboa Nephrology Medical Group Inc is 1316997505 and holds a License No. (California).

The current practice location address for Balboa Nephrology Medical Group Inc is 4225 Executive Sq Ste 450, La Jolla, CA and can be reached out via phone at 858-810-8000 and via fax at 858-268-1911.

Location: 4225 Executive Sq Ste 450, La Jolla, CA, 92037-8411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316997505
Provider Name
Balboa Nephrology Medical Group Inc
Credential
Provider Entity Type
Organization
Address
4225 Executive Sq Ste 450, La Jolla, CA, 92037-8411
Phone Number
858-810-8000
Fax Number
858-268-1911
Provider Enumeration Date
05/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ04938Z 01 CA MEDICARE PTAN, NO CA
W1487 01 CA MEDICARE PTAN, SO CA
CB251966 01 CA MEDICARE PTAN ORANGE COUNTY
institution
Provider Business Practice Location Address Details
Address
4225 Executive Sq Ste 450
City
La Jolla
State
California
Zip
92037-8411
Phone Number
858-810-8000
Fax Number
858-268-1911
person
Provider Business Mailing Address Details
Address
4225 Executive Sq Ste 450
City
La Jolla
State
California
Zip
92037-8411
Phone Number
858-810-8000
Fax Number
858-268-1911
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
204F00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
()
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
()
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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