Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canon Medical Group Inc

Organization Nephrology Physician · NPI 1023097631

Canon Medical Group Inc provides Nephrology Physician services in Beverly Hills, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 N Camden Dr Ste 775
Beverly Hills, CA 90210-4532 Not confirmed with CMS for 10 years — call before visiting
Phone: (310) 274-7300
Fax: (310) 274-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence W7122 (CA)

Record details

NPI number1023097631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Salick — Physician · (310) 274-3400
NPI enumeratedJanuary 11, 2006
Last updated in NPPESDecember 17, 2015
Mailing address9777 Wilshire Blvd, Ste 512, Beverly Hills, CA 90212-1905

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