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Organization

NEPHROLOGY ASSOCIATES MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL FENECK (CEO)
(951) 680-9717
Entity
Organization

Contact information

Practice address
264 N HIGHLAND SPRINGS AVE, SUITE 2D, BANNING, CA 92220-3082
(951) 769-9776
(951) 769-9026
Mailing address
4361 LATHAM ST, SUITE 150, RIVERSIDE, CA 92501-1730
(951) 680-9717
(951) 680-9327

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
09/27/2006
Last updated
08/22/2020
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