Organization
CALIFORNIA KIDNEY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROYA TAHMASSEBI (OFFICE MANAGER)
(909) 542-2770
Entity
Organization
Contact information
Practice address
1335 W CYPRESS AVE, SAN DIMAS, CA 91773-3537
(909) 542-2770
(909) 394-1800
Mailing address
1335 W CYPRESS AVE, SAN DIMAS, CA 91773-3537
(909) 542-2770
(909) 394-1800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
03/16/2012
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