Modesto Kidney Center, Inc. in Long Beach - End-stage Renal Disease (esrd) Treatment
Modesto Kidney Center, Inc. - NPI 1003887712
Modesto Kidney Center, Inc. is a End-stage Renal Disease (esrd) Treatment in Long Beach, California. Modesto Kidney Center, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Modesto Kidney Center, Inc. is 1003887712. The last update date is 2020-08-22.
Modesto Kidney Center, Inc.'s current location address is 1 World Trade Ctr, Long Beach, California. You can contact this provider via phone number 5624958075 and fax number 5624958076. The mailing address for Modesto Kidney Center, Inc. is 1 World Trade Ctr, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modesto Kidney Center, Inc. |
|---|---|
| Address | 1 World Trade Ctr, Long Beach, California |
| Phone Number | 5624958075 |
| Fax Number | 5624958076 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Green Jerry |
| Telephone Number | 5624958075 |
NPI Number Detail
| NPI Number | 1003887712 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1 World Trade Ctr |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908310002 |
| Phone Number | 5624958075 |
| Fax Number | 5624958076 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC02783F | CA | -- |
Post Comment/ Review Below
What is the Modesto Kidney Center, Inc.'s 1003887712?
The Modesto Kidney Center, Inc.'s NPI (National Provider Identifier) Number is 1003887712. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Modesto Kidney Center, Inc.'s physical address?
The Modesto Kidney Center, Inc. is physically located at 1 World Trade Ctr, in the city of Long Beach, CA, with the postal code 908310002.
What is the area of specialization for Modesto Kidney Center, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Modesto Kidney Center, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.
When did the Modesto Kidney Center, Inc. receive its 1003887712?
The Modesto Kidney Center, Inc. was issued its 1003887712 on 2006-01-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Modesto Kidney Center, Inc. last refreshed?
The information related to the Modesto Kidney Center, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1932102142
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