Organization
RENAL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIA A KHWAJA MD (PRESIDENT)
(310) 638-0533
Entity
Organization
Contact information
Practice address
3625 E MARTIN LUTHER KING JR BLVD #2, LYNWOOD, CA 90262
(310) 638-0533
Mailing address
3625 E MARTIN LUTHER KING JR BLVD #2, LYNWOOD, CA 90262
(310) 638-0533
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067120
—
CA
Enumeration date
05/03/2007
Last updated
01/25/2013
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