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Organization
EL CAMINO RENAL MEDICAL GROUP, INC
Active
Organization
EL CAMINO RENAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JAMES CARRIE MD (DIRECTOR)
(650) 988-7944
Entity
Organization
Contact information
Practice address
515 SOUTH DR, SUITE 12, MOUNTAIN VIEW, CA 94040-4204
(650) 988-7944
(650) 964-3608
Mailing address
515 SOUTH DR, SUITE 12, MOUNTAIN VIEW, CA 94040-4204
(650) 988-7944
(650) 964-3608
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77355Z
—
CA
Enumeration date
12/29/2005
Last updated
10/31/2017
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