Organization
EL CAMINO RENAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN JAMES CARRIE MD (DIRECTOR)
(650) 988-7944
Entity
Organization
Contact information
Practice address
515 SOUTH DR, SUITE 12, MOUNTAIN VIEW, CA 94040-4204
(650) 988-7944
(650) 964-3608
Mailing address
515 SOUTH DR, SUITE 12, MOUNTAIN VIEW, CA 94040-4204
(650) 988-7944
(650) 964-3608
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77355Z
—
CA
Enumeration date
12/29/2005
Last updated
10/31/2017
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