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Organization
LEMI MEDICAL CENTER PROFESSIONAL CORPORATION
Active
Organization
LEMI MEDICAL CENTER PROFESSIONAL CORPORATION
Active
Other names
NANI KHANANASHVILI DBA LEMI MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANI KANEN M.D. (OWNER)
(650) 697-0361
Entity
Organization
Contact information
Practice address
1838 EL CAMINO REAL, SUITE 100, BURLINGAME, CA 94010-3126
(650) 697-0361
(650) 697-8752
Mailing address
1838 EL CAMINO REAL, SUITE 100, BURLINGAME, CA 94010-3126
(650) 697-0361
(650) 697-8752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A77565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2865505
CA STATE CORPORATE ID
CA
Enumeration date
10/10/2006
Last updated
07/19/2010
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