Organization
COAST NEPHROLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN I ERLBAUM M.D. (PRESIDENT)
(562) 595-7426
Entity
Organization
Contact information
Practice address
3780 KILROY AIRPORT WAY, STE 115, LONG BEACH, CA 90806-2458
(562) 595-7426
(562) 989-3054
Mailing address
3780 KILROY AIRPORT WAY, STE 115, LONG BEACH, CA 90806-2458
(562) 595-7426
(562) 989-3054
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
BU94027460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055750
—
CA
Enumeration date
06/24/2005
Last updated
08/02/2007
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