Organization
KIDNEY CONSULTANTS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMARAN ABDEEN M.D (PRESIDENT)
(818) 365-1194
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD, SUITE 371, MISSION HILLS, CA 91345-1252
(818) 365-1194
(818) 898-3835
Mailing address
11550 INDIAN HILLS RD, SUITE 371, MISSION HILLS, CA 91345-1252
(818) 365-1194
(818) 898-3835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068770
—
CA
Enumeration date
11/14/2006
Last updated
11/06/2018
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