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Kidney Disease Medical Group Inc
Specialist in Glendale, California
NPI 1740392810

Kidney Disease Medical Group Inc is a Specialist based in Glendale, CA. Kidney Disease Medical Group Inc practices in Glendale, CA. The NPI Number for Kidney Disease Medical Group Inc is 1740392810 and holds a License No. (California).

The current practice location address for Kidney Disease Medical Group Inc is 1505 Wilson Ter, Glendale, CA and can be reached out via phone at 818-500-4055 and via fax at 818-500-4065.

Location: 1505 Wilson Ter, Glendale, CA, 91206-4071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740392810
Provider Name
Kidney Disease Medical Group Inc
Credential
Provider Entity Type
Organization
Address
1505 Wilson Ter, Glendale, CA, 91206-4071
Phone Number
818-500-4055
Fax Number
818-500-4065
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A343610 05 CA
00A529500 05 CA
00A608910 05 CA
institution
Provider Business Practice Location Address Details
Address
1505 Wilson Ter
City
Glendale
State
California
Zip
91206-4071
Phone Number
818-500-4055
Fax Number
818-500-4065
person
Provider Business Mailing Address Details
Address
1505 Wilson Ter
City
Glendale
State
California
Zip
91206-4071
Phone Number
818-500-4055
Fax Number
818-500-4065
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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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