300 S Robertson Dialysis, Llc in Los Angeles - End-stage Renal Disease (esrd) Treatment
300 S Robertson Dialysis, Llc - NPI 1962473025
300 S Robertson Dialysis, Llc is a End-stage Renal Disease (esrd) Treatment in Los Angeles, California. 300 S Robertson Dialysis, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for 300 S Robertson Dialysis, Llc is 1962473025. The last update date is 2014-11-14.
300 S Robertson Dialysis, Llc's current location address is Po Box 749124, Los Angeles, California. You can contact this provider via phone number 5624958075 and fax number 5624958076. The mailing address for 300 S Robertson Dialysis, Llc is Po Box 749124, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 300 S Robertson Dialysis, Llc |
|---|---|
| Address | Po Box 749124, Los Angeles, California |
| Phone Number | 5624958075 |
| Fax Number | 5624958076 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Weinberg L Thomas |
| Telephone Number | 2147362700 |
NPI Number Detail
| NPI Number | 1962473025 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2014-11-14 |
Provider Mailing Address Detail
| Address | Po Box 749124 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900749124 |
| Phone Number | 5624958075 |
| Fax Number | 5624958076 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 930000915 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC02837G | CA | -- |
Post Comment/ Review Below
What is the 300 S Robertson Dialysis, Llc's 1962473025?
The 300 S Robertson Dialysis, Llc's NPI (National Provider Identifier) Number is 1962473025. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of 300 S Robertson Dialysis, Llc?
The 300 S Robertson Dialysis, Llc is physically situated at Po Box 749124, in the city of Los Angeles, state of CA, with the postal code 900749124.
What is 300 S Robertson Dialysis, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for 300 S Robertson Dialysis, Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962473025 to 300 S Robertson Dialysis, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1962473025 to 300 S Robertson Dialysis, Llc on 2006-01-27.
When was the information pertaining to 300 S Robertson Dialysis, Llc most recently updated or revised?
The details related to 300 S Robertson Dialysis, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-14.