| Westside Nephrology Medical Group Inc | |
|
1301 20th St Ste 200 Santa Monica CA 90404-2088 | |
| (310) 829-3639 | |
| Not Available |
| Full Name | Westside Nephrology Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 20th St Ste 200, Santa Monica, California |
| Authorized Official Name and Position | Morris Grabie (OWNER PRESIDENT) |
| Authorized Official Contact | 3108293639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Nephrology Medical Group Inc 1301 20th St Ste 200 Santa Monica CA 90404-2088 Ph: () - | Westside Nephrology Medical Group Inc 1301 20th St Ste 200 Santa Monica CA 90404-2088 Ph: (310) 829-3639 |
| NPI Number | 1760696934 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 9133112972 |
|---|---|
| Medicare Enrollment ID | O20040406001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760696934 | NPI | - | NPPES |
| GR0063610 | Medicaid | CA | |
| ZZZ24192Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G34196 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | G34196 (California) | Primary |
| Provider Name | Morris T Grabie |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659399681 PECOS PAC ID: 3173516929 Enrollment ID: I20060320000769 |
Vitality&longevity Medical Center A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2221 Lincoln Blvd, Suite 200, Santa Monica, CA 90405 Phone: 310-581-8585 Fax: 320-215-4650 | |
Cynthia Kodama, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2104 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-882-8258 | |
Premier Medical Group. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 304, Santa Monica, CA 90404 Phone: 310-420-9191 | |
Santa Monica Bay Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd, 1070, Santa Monica, CA 90404 Phone: 310-315-7900 Fax: 310-315-7931 | |
Santa Monica Bay Physicinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 15th St, 1501, Santa Monica, CA 90404 Phone: 310-656-1700 Fax: 310-458-1061 | |
Jimmy C. Huang, D.o. A Professional Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2210 Santa Monica Blvd., Suite C, Santa Monica, CA 90404 Phone: 310-828-1708 Fax: 310-828-1705 | |
Joseph J Pinzone M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 1190w, Santa Monica, CA 90404 Phone: 888-580-5900 Fax: 855-510-0119 |