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Contact Information

A.V. MERIDIEN MEDICAL GROUP, INC
1007 WEST AVE M-14
SUITE B-1
PALMDALE, CA93551
 Phone: 661-265-7019
 Fax: 661-265-7089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AV MERIDIEN MEDICAL GROUP INC · (Female)

NPI # 1023191780
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2006
Last updated 11/04/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A41776
  • CA Medicaid GR0071850
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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