Organization
PREMIER NEPHROLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A GREENFIELD MD (PRESIDENT)
(213) 742-1414
Entity
Organization
Contact information
Practice address
1400 S GRAND AVE, STE. 800, LOS ANGELES, CA 90015-3048
(213) 748-1414
(213) 749-4021
Mailing address
1400 S GRAND AVE, STE. 800, LOS ANGELES, CA 90015-3048
(213) 748-1414
(213) 749-4021
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065330
—
CA
Enumeration date
03/09/2007
Last updated
07/13/2007
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