California Kidney Medical Group, INC
NPI #1760586705 in Moorpark, California
Provider Information
- NPI Number
- 1760586705
- Entity Type
- Organization
- Organization Name
- California Kidney Medical Group, INC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Sep 11, 2006
- Last Updated
- Nov 30, 2016
Practice Location
- Address
- 13990 BEAR FENCE CT
- City
- Moorpark
- State
- California
- ZIP Code
- 93021-5022
- Phone
- (818) 718-2301
Authorized Official
- Name
- JOYCE VAN BRUCK
- Title
- ADMINISTRATOR
- Phone
- (818) 400-6396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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