Organization
NEPHRON MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIZA MARIE VISMANOS (CEO)
(310) 341-3134
Entity
Organization
Contact information
Practice address
1600 ROSECRANS AVE, BUILDING 7,4TH FLOOR, MANHATTAN BEACH, CA 90266-3708
(310) 341-3134
Mailing address
1600 ROSECRANS AVE, BUILDING 7,4TH FLOOR, MANHATTAN BEACH, CA 90266-3708
(310) 341-3134
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
G20777
CA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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