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Organization
PACIFIC NEPHROLOGY ASSOCIATES MEDICAL GROUP, PC
Active
Organization
PACIFIC NEPHROLOGY ASSOCIATES MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LYNN KUHL (VP OPERATIONS)
(714) 445-0236
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
(888) 762-9030
(714) 445-0245
Mailing address
3080 BRISTOL ST STE 600, COSTA MESA, CA 92626-7341
(888) 762-9030
(714) 445-0245
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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