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Contact Information

DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC
3030 MATLOCK RD
SUITE 205
ARLINGTON, TX75243
 Phone: 817-375-0610
 Fax: 817-375-0640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC

NPI # 1134189574
LBN Legal business name DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA INC
Authorized official ANTHONY GABRIEL - (OWNER PRESIDENT SECRETARY TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2006
Last updated 05/04/2009 - About 17 years ago
Identifiers
TX Medicaid 177068701
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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