CANON MEDICAL GROUP INC – NPI #1023097631
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

CANON MEDICAL GROUP INC is a provider located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1023097631 to CANON MEDICAL GROUP INC on January 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 10 years ago on Dec 17, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANON MEDICAL GROUP INC below.

NPI Profile for
CANON MEDICAL GROUP INC

NPI Number
1023097631
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANON MEDICAL GROUP INC
Primary location
414 N CAMDEN DR
SUITE 775
BEVERLY HILLS, CA 90210-4532
Phone: (310) 274-7300 Fax: (310) 274-7301
Mailing address
9777 WILSHIRE BLVD
STE 512
BEVERLY HILLS, CA 90212-1905
Phone: (310) 967-3300 Fax: (310) 967-3377
Organization Subpart
No
Authorized Official
BERNARD SALICK
PHYSICIAN
Phone: (310) 274-3400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA W7122

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.