Organization
KIDNEY CARE NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POOJA MAHAJAN BADLANI MD (OWNER)
(312) 402-1502
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(312) 402-1502
(909) 363-7447
Mailing address
6509 E PASEO DIEGO, ANAHEIM, CA 92807-5011
(312) 402-1502
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A117250
CA
Other
Enumeration date
11/13/2015
Last updated
03/10/2016
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