Greater Los Angeles Dialysis Inc in San Gabriel - End-stage Renal Disease (esrd) Treatment
Greater Los Angeles Dialysis Inc - NPI 1922181056
Greater Los Angeles Dialysis Inc is a End-stage Renal Disease (esrd) Treatment in San Gabriel, California. Greater Los Angeles Dialysis Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Greater Los Angeles Dialysis Inc is 1922181056. The last update date is 2009-06-30.
Greater Los Angeles Dialysis Inc's current location address is 1840 S San Gabriel Blvd, San Gabriel, California. You can contact this provider via phone number 6265714596 and fax number 6265711706. The mailing address for Greater Los Angeles Dialysis Inc is 1840 S San Gabriel Blvd, San Gabriel, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greater Los Angeles Dialysis Inc |
|---|---|
| Address | 1840 S San Gabriel Blvd, San Gabriel, California |
| Phone Number | 6265714596 |
| Fax Number | 6265711706 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | De Peralta B Marino |
| Telephone Number | 6265714596 |
NPI Number Detail
| NPI Number | 1922181056 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2009-06-30 |
Provider Mailing Address Detail
| Address | 1840 S San Gabriel Blvd |
|---|---|
| City | San Gabriel |
| State | California (CA) |
| Post Code | 917763930 |
| Phone Number | 6265714596 |
| Fax Number | 6265711706 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 930000865 |
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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 |
|---|---|---|---|
| CDC02755F | CA | -- | |
| ZZZ52324Z | CA | BLUE SHIELD INSURANCE |
Post Comment/ Review Below
What is the unique identifier code issued to Greater Los Angeles Dialysis Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Greater Los Angeles Dialysis Inc has been assigned the NPI (National Provider Identifier) 1922181056. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Greater Los Angeles Dialysis Inc's facilities are geographically located?
The facilities of Greater Los Angeles Dialysis Inc are physically situated at the following location: 1840 S San Gabriel Blvd, San Gabriel, CA, 917763930.
What is the Greater Los Angeles Dialysis Inc's specialty and taxonomy code?
The Greater Los Angeles Dialysis Inc'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 1922181056 to Greater Los Angeles Dialysis Inc?
The Centers for Medicare & Medicaid Services assigned the 1922181056 to Greater Los Angeles Dialysis Inc on 2006-10-23.
As of what date was the information pertaining to Greater Los Angeles Dialysis Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Greater Los Angeles Dialysis Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-30.
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