Baldwin Hills Dialysis Center in Los Angeles - End-stage Renal Disease (esrd) Treatment

Baldwin Hills Dialysis Center - NPI 1245344654

Baldwin Hills Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Los Angeles, California. Baldwin Hills Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Baldwin Hills Dialysis Center is 1245344654. The last update date is 2011-04-07.

Baldwin Hills Dialysis Center's current location address is 3705 S La Brea Ave, Los Angeles, California. You can contact this provider via phone number 3232934488 and fax number 3232934499. The mailing address for Baldwin Hills Dialysis Center is 3705 S La Brea Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Baldwin Hills Dialysis Center
Address 3705 S La Brea Ave, Los Angeles, California
Phone Number 3232934488
Fax Number 3232934499
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Horowitz S. Richard
Credentials M.D.
Telephone Number 3232934488

NPI Number Detail

NPI Number 1245344654
Provider Enumeration Date 2006-08-19
Last Updated Date 2011-04-07

Provider Mailing Address Detail

Address 3705 S La Brea Ave
City Los Angeles
State California (CA)
Post Code 900165309
Phone Number 3232934488
Fax Number 3232934499

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 930000904
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
CDC02806F CA --
ZZZ57405Z CA BLUE SHIELD OF CALIFORNIA

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FAQs about Baldwin Hills Dialysis Center

What is the Baldwin Hills Dialysis Center's 1245344654?

The Baldwin Hills Dialysis Center's NPI (National Provider Identifier) Number is 1245344654. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Baldwin Hills Dialysis Center is physically located?

The Baldwin Hills Dialysis Center is situated at the following address: 3705 S La Brea Ave, Los Angeles, CA 900165309.

What is the Baldwin Hills Dialysis Center's specialty and taxonomy code?

The Baldwin Hills Dialysis Center's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245344654 to Baldwin Hills Dialysis Center?

The Centers for Medicare & Medicaid Services assigned the 1245344654 to Baldwin Hills Dialysis Center on 2006-08-19.

As of what date were the details related to Baldwin Hills Dialysis Center most recently updated or revised?

The information pertaining to Baldwin Hills Dialysis Center, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-07.

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