Organization
KIDNEY DISEASE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUSH ARFAANIA M.D. (PRESIDENT OF THE GROUP)
(818) 500-4055
Entity
Organization
Contact information
Practice address
1505 WILSON TER, SUITE #155, GLENDALE, CA 91206-4071
(818) 500-4055
(818) 500-4065
Mailing address
1505 WILSON TER, SUITE #155, GLENDALE, CA 91206-4071
(818) 500-4055
(818) 500-4065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A343610
—
CA
05
—
00A529500
—
CA
05
—
00A608910
—
CA
Enumeration date
08/31/2006
Last updated
04/28/2014
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