Pacific Medical And Nephrology Associates INC.
Internal Medicine, Nephrology in Santa Monica, CA. Organization (NPI-2).
Details
- NPI
- 1891756508
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Medical And Nephrology Associates INC.
- Organization subpart
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | G35140 | CA | Yes |
Practice location
2001 Santa Monica BlvdSuite 765w
Santa Monica, CA 90404-2102
Phone 310-453-4599 · Fax 310-453-6620
Mailing address
2001 Santa Monica BlvdSuite 765w
Santa Monica, CA 90404-2102
Phone 310-453-4599 · Fax 310-453-6620
Authorized official
Earl Mark Gordon
President Of Corporation
3104534599
Is something wrong?
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