A.V. MERIDIEN MEDICAL GROUP, INC


Address: 1007 West Ave M-14, Suite B-1, Palmdale, CA 93551
Phone: 6612657019

A.V. MERIDIEN MEDICAL GROUP, INC (NPI# 1023191780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023191780
Entity Type Organization
Organization Name A.V. MERIDIEN MEDICAL GROUP, INC
Practice Address 1007 West Ave M-14
Suite B-1
Palmdale
CA 93551
Practice Telephone 6612657019
Practice Fax Number 6612657089
Mailing Telephone 6612657019
Mailing Fax Number 6612657089
Enumeration Date 2006-10-23
Last Update Date 2015-11-04
Authorized Official Name MS. LINDA MANN (ADMINISTRATOR)
Authorized Official Telephone 6612657019
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
A41776 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0071850 05

Office Location

Street Address 1007 WEST AVE M-14
SUITE B-1
City PALMDALE
State CA
Zip Code 93551

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1972025898 Tamika Estrella Driver 39553 Hawthorne St, Palmdale, CA 93551 2017-07-12
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699777334 John H.h. Fisher Internal Medicine 1007 W Avenue M14, Suite B-1, Palmdale, CA 93551-1443 2005-08-12

Providers in the same taxonomy and state

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1629600416 Valley Kidney Medical Group Inc Internal Medicine 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 2020-02-10
1437789278 Spectrum Dialysis Internal Medicine 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 2020-01-21
1932745007 K Care Ipa Internal Medicine 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 2019-11-22
1326609496 Alliance Hospitalist Medical Corporation Internal Medicine 3300 E South St Ste 307, Lakewood, CA 90805 2019-06-27
1669930723 Adventist Health Physicians Network Internal Medicine 111 Raley Blvd Ste 160, Chico, CA 95928-8351 2019-03-07
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Competitor

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City PALMDALE
Zip Code 93551

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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