California Kidney Medical Group INC
NPI #1649291774 in Simi Valley, California
Provider Information
- NPI Number
- 1649291774
- Entity Type
- Organization
- Organization Name
- California Kidney Medical Group INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Feb 26, 2009
Practice Location
- Address
- 50 MORELAND RD
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-1659
- Phone
- (805) 433-7360
Authorized Official
- Name
- LILY KRASTEIN
- Title
- ADMINISTRATOR
- Phone
- (805) 433-7507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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