CALIFORNIA KIDNEY MEDICAL GROUP INC
Medical Laboratory at Moreland Rd, Simi Valley, CA

License number
California CLF 320950
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: LILY KRASTEIN
Title: ADMINISTRATOR
Phone: (805) 433-7507
Address
Address
50 Moreland Rd, Simi Valley, CA 93065
National Provider ID: 1649291774
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CALIFORNIA KIDNEY MEDICAL GROUP, INC

50 Moreland Rd, Simi Valley, CA 93065

Registration:
May 2, 1997
State ID:
C1983583
Business type:
Articles of Incorporation
President:
Ushakant Thakkar (President)
Agent:
Rajesh Thakkar,Simi Valley, CA 93065 (Physical)

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