AVICCENNA MEDICAL GROUP – NPI #1124264635
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.
AVICCENNA MEDICAL GROUP is a provider located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1124264635 to AVICCENNA MEDICAL GROUP on January 05, 2009. 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 17 years ago on Jul 01, 2009. 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 AVICCENNA MEDICAL GROUP below.
NPI Profile for
AVICCENNA MEDICAL GROUP
(more than 17 years ago)
SUITE # 312
BEVERLY HILLS, CA 90210-4321 Phone: (310) 858-1800 Fax:
LOS ANGELES, CA 90034-3712 Phone: (310) 858-1800 Fax:
PRESIDENT
Phone: (310) 858-1800
Identifiers for AVICCENNA MEDICAL GROUP
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | 2074290 |
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 | A100198 |
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.