| Internal Medicine And Nephrology Med. Group Inc. | |
|
3291 Skypark Dr, Torrance, CA 90505-5004 | |
| (310) 325-4517 | |
| (310) 325-1144 |
| Full Name | Internal Medicine And Nephrology Med. Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine - Nephrology |
| Location | 3291 Skypark Dr, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497759104 | NPI | - | NPPES |
| ZZZ72355Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | BUS-0041314 (California) | Primary |
| Provider Name | Vinh T Cam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144243908 PECOS PAC ID: 9638114028 Enrollment ID: I20050627000364 |
| Provider Name | Philip W Chung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003881889 PECOS PAC ID: 0446273726 Enrollment ID: I20060112000737 |
| Provider Name | Edgar A Musngi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871523563 PECOS PAC ID: 3173546991 Enrollment ID: I20071025000644 |
| Provider Name | Ana C Ortiz-guerrero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275776536 PECOS PAC ID: 9133365059 Enrollment ID: I20130422000039 |
| Provider Name | Mahdi Yazdany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316109911 PECOS PAC ID: 0345419909 Enrollment ID: I20130820000545 |
| Provider Name | Omer Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396036646 PECOS PAC ID: 7719112358 Enrollment ID: I20131106001489 |
| Provider Name | Sasha Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457742330 PECOS PAC ID: 7810201621 Enrollment ID: I20150806010491 |
| Provider Name | Kimberly Reiko Miyamoto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861048456 PECOS PAC ID: 5092133579 Enrollment ID: I20200915002664 |
| Provider Name | Jonathan Sung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477057859 PECOS PAC ID: 0547505497 Enrollment ID: I20230612000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Nephrology Med. Group Inc. 3291 Skypark Dr, Torrance, CA 90505-5004 Ph: (310) 325-4517 | Internal Medicine And Nephrology Med. Group Inc. 3291 Skypark Dr, Torrance, CA 90505-5004 Ph: (310) 325-4517 |