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

Renology Medical Group

Organization Nephrology Physician · NPI 1083705081

Renology Medical Group provides Nephrology Physician services in Glendale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1510 S Central Ave Ste 210
Glendale, CA 91204-2500
Phone: (818) 956-2111
Fax: (818) 956-2122
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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 A24092 (CA)

Record details

NPI number1083705081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoinette Granillo — Office Manager · (818) 956-2111
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1510 S Central Ave, Suite 210, Glendale, CA 91204-2500

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