La Puente Dialysis Center, Inc. in San Dimas - End-stage Renal Disease (esrd) Treatment

La Puente Dialysis Center, Inc. - NPI 1730190331

La Puente Dialysis Center, Inc. is a End-stage Renal Disease (esrd) Treatment in San Dimas, California. La Puente Dialysis Center, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for La Puente Dialysis Center, Inc. is 1730190331. The last update date is 2017-01-11.

La Puente Dialysis Center, Inc.'s current location address is 1335 Cypress Street, San Dimas, California. You can contact this provider via phone number 9095422900 and fax number 9095926000. The mailing address for La Puente Dialysis Center, Inc. is 1335 Cypress Street, San Dimas, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization La Puente Dialysis Center, Inc.
Address 1335 Cypress Street, San Dimas, California
Phone Number 9095422900
Fax Number 9095926000
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Rizvi Ali Syed Arif
Credentials M.D.
Telephone Number 9095422900

NPI Number Detail

NPI Number 1730190331
Provider Enumeration Date 2006-08-10
Last Updated Date 2017-01-11

Provider Mailing Address Detail

Address 1335 Cypress Street
City San Dimas
State California (CA)
Post Code 917733537
Phone Number 9095422900
Fax Number 9095926000

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 930000458
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

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FAQs about La Puente Dialysis Center, Inc.

What is the unique 10-digit identifier code issued to La Puente Dialysis Center, Inc. by the Centers for Medicare & Medicaid Services?

The La Puente Dialysis Center, Inc. has been assigned the NPI (National Provider Identifier) 1730190331 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where La Puente Dialysis Center, Inc.'s facilities are situated?

The facilities of La Puente Dialysis Center, Inc. are physically located at the following address: 1335 Cypress Street, San Dimas, CA, 917733537.

What is La Puente Dialysis Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The La Puente Dialysis Center, Inc.'s specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.

On what date did the La Puente Dialysis Center, Inc. receive the assignment of its 1730190331 from the Centers for Medicare & Medicaid Services?

The La Puente Dialysis Center, Inc. was issued its 1730190331 by the Centers for Medicare & Medicaid Services on 2006-08-10.

As of what date were the details related to La Puente Dialysis Center, Inc. most recently updated or revised?

The information pertaining to La Puente Dialysis Center, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2017-01-11.

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