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Organization
NEPHROLOGY SPECIALISTS MEDICAL GROUP, INC.
Active
Organization
NEPHROLOGY SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMER JABARA M.D. (PRESIDENT)
(714) 639-4901
Entity
Organization
Contact information
Practice address
705 W LA VETA AVE STE 107, ORANGE, CA 92868
(714) 639-4901
(714) 771-5389
Mailing address
705 W LA VETA AVE STE 107, ORANGE, CA 92868-4447
(714) 693-7901
(714) 771-5389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73100Z
—
CA
05
—
ZZZ81344Z
—
CA
Enumeration date
04/04/2006
Last updated
05/30/2025
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