Organization
RENOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE GRANILLO (OFFICE MANAGER)
(818) 956-2111
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 210, GLENDALE, CA 91204-2500
(818) 956-2111
(818) 956-2122
Mailing address
1510 S CENTRAL AVE, SUITE 210, GLENDALE, CA 91204-2500
(818) 956-2111
(818) 956-2122
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A24092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A240920
—
CA
Enumeration date
09/27/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us