MEDIPRO MEDICAL GROUP INC NPI 1952414328

Internal Medicine (Nephrology) in San Marino, CA

NPI 1952414328 Organization Internal Medicine Nephrology

About MEDIPRO MEDICAL GROUP INC

Medipro Medical Group Inc is an internal medicine provider established in San Marino, California specializing in internal medicine (nephrology) . The NPI number of Medipro Medical Group Inc is 1952414328 and was assigned on August 2006. The practitioner's primary taxonomy code is 207RN0300X with license number G77099 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Medipro Medical Group Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Steven S Ho M.d. (Medical Doctor)

An internist like Medipro Medical Group Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1952414328

Provider NameMEDIPRO MEDICAL GROUP INC
Provider Location Address1829 E CALIFORNIA BLVD SAN MARINO, CA 91108
Provider Mailing Address1829 E CALIFORNIA BLVD SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-17-2006
Last Update Date11-18-2015


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.G77099
License StateCA
Taxonomy DescriptionAn 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.

Business Address

MEDIPRO MEDICAL GROUP INC
1829 E CALIFORNIA BLVD
SAN MARINO, CA
ZIP 91108
Phone: (310) 914-9150
Fax: (310) 914-9750

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Mailing Address

MEDIPRO MEDICAL GROUP INC
1829 E CALIFORNIA BLVD
SAN MARINO, CA
ZIP 91108
Phone: (310) 914-9150
Fax: (310) 914-9750



Authorized Official

Authorized Official Name STEVEN S HO M.D.
Authorized Official TitleMEDICAL DOCTOR
Authorized Official Phone(310) 914-9150

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
W14451MEDICARE ID-TYPE UNSPECIFIED (04)CA
00G770991MEDICAID (05)CA
G07962MEDICARE UPIN (02)CA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.