LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION – NPI #1487033353
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

LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1487033353 to LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION on May 26, 2015. 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 last updated on Aug 30, 2024. 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 LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1487033353
Enumeration Date

(more than 11 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
LOS ANGELES KIDNEY CENTER, A PROFESSIONAL MEDICAL CORPORATION
Primary location
1414 S GRAND AVE STE 100
LOS ANGELES, CA 90015-3071
Phone: (310) 927-5807 Fax:
Mailing address
1717 MALCOLM AVE PH 1
LOS ANGELES, CA 90024-6842
Phone: (310) 927-5807 Fax:
Organization Subpart
No
Authorized Official
ARDAVAN MASHHADIAN
PHYSICIAN
Phone: (310) 927-5807
Updated
Certification Date
Aug 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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 20A11899

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.