Fremont Nephrology Prof Corp
Internal Medicine, Nephrology in Fremont, CA. Organization (NPI-2).
NPI number1326292012
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1326292012
- Entity type
- Organization (NPI-2)
- Legal business name
- Fremont Nephrology Prof Corp
- Organization subpart
- No
- Enumeration date
- Nov 9, 2008
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | G63140 | CA | Yes |
| 207R00000X | Internal Medicine | G63140 | CA |
Other names
- Fremont Nephrology (Other Name)
Practice location
39233 Liberty StFremont, CA 94538-1501
Phone 510-795-8186 · Fax 510-792-8186
Mailing address
39270 Paseo Padre PkwySuite 518
Fremont, CA 94538-1616
Phone 510-795-8186 · Fax 510-792-8186
Authorized official
David T Tay
Ceo
5105018681
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