Organization
PACIFIC NEPHROLOGY ASSOCIATES MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LYNN KUHL (VP OPERATIONS)
(714) 445-0236
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
(888) 762-9030
(714) 445-0245
Mailing address
3080 BRISTOL ST STE 600, COSTA MESA, CA 92626-7341
(888) 762-9030
(714) 445-0245
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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