{
"Npi": {
"NPI": "1275954711",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAN FERNANDO WEST KIDNEY CENTER L.P",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7230 MEDICAL CENTER DR STE 205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91307-4007",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-345-0664",
"MailingAddressFaxNumber": "818-657-0131",
"FirstLinePracticeLocationAddress": "7230 MEDICAL CENTER DR STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST HILLS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91307-4001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "818-888-4730",
"PracticeLocationAddressFaxNumber": "818-888-3460",
"EnumerationDate": "12/31/2013",
"LastUpdateDate": "12/31/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUZIEL",
"AuthorizedOfficialFirstName": "LAWRENCE",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "818-345-0664",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "261QE0700X",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}