Organization
PEDIATRIC RENAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK KUMAR RAJPOOT M.D. (CEO)
(714) 669-3173
Entity
Organization
Contact information
Practice address
9 CANDELA, IRVINE, CA 92620-1823
(714) 669-3173
Mailing address
9 CANDELA, IRVINE, CA 92620-1823
(714) 669-3173
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
A48316
CA
Other
Enumeration date
07/09/2006
Last updated
07/29/2009
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