Portland Peritoneal Center, Inc. in Long Beach - End-stage Renal Disease (esrd) Treatment
Portland Peritoneal Center, Inc. - NPI 1437121704
Portland Peritoneal Center, Inc. is a End-stage Renal Disease (esrd) Treatment in Long Beach, California. Portland Peritoneal Center, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Portland Peritoneal Center, Inc. is 1437121704. The last update date is 2020-08-22.
Portland Peritoneal 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 Portland Peritoneal Center, Inc. is 1 World Trade Ctr, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portland Peritoneal 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 | 1437121704 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| 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 |
| Licence No | 394020 |
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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 |
|---|---|---|---|
| 121231 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Portland Peritoneal Center, Inc. by the Centers for Medicare & Medicaid Services?
The Portland Peritoneal Center, Inc. has been assigned the NPI (National Provider Identifier) 1437121704. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Portland Peritoneal Center, Inc. is located?
The Portland Peritoneal Center, Inc. is situated at the following address: 1 World Trade Ctr, Long Beach, CA, 908310002.
What is Portland Peritoneal Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Portland Peritoneal Center, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437121704 to Portland Peritoneal Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1437121704 to Portland Peritoneal Center, Inc. on 2006-02-02.
When was the Portland Peritoneal Center, Inc.'s information last updated?
The Portland Peritoneal Center, Inc.'s information was last updated on 2020-08-22.