Kidney Dialysis Center Of Pismo Beach, Llc in Pismo Beach - End-stage Renal Disease (esrd) Treatment
Kidney Dialysis Center Of Pismo Beach, Llc - NPI 1518902758
Kidney Dialysis Center Of Pismo Beach, Llc is a End-stage Renal Disease (esrd) Treatment in Pismo Beach, California. Kidney Dialysis Center Of Pismo Beach, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Dialysis Center Of Pismo Beach, Llc is 1518902758. The last update date is 2007-07-30.
Kidney Dialysis Center Of Pismo Beach, Llc's current location address is 320 James Way, Pismo Beach, California. You can contact this provider via phone number 8055560577 and fax number 8054337655. The mailing address for Kidney Dialysis Center Of Pismo Beach, Llc is 320 James Way, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Dialysis Center Of Pismo Beach, Llc |
|---|---|
| Address | 320 James Way, Pismo Beach, California |
| Phone Number | 8055560577 |
| Fax Number | 8054337655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Upponi Viral Lisa |
| Telephone Number | 8054337506 |
NPI Number Detail
| NPI Number | 1518902758 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 320 James Way |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934492813 |
| Phone Number | 8055560577 |
| Fax Number | 8054337655 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
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 |
|---|---|---|---|
| CDC52556 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kidney Dialysis Center Of Pismo Beach, Llc by the Centers for Medicare & Medicaid Services?
The Kidney Dialysis Center Of Pismo Beach, Llc has been issued the NPI (National Provider Identifier) 1518902758 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kidney Dialysis Center Of Pismo Beach, Llc's facilities are geographically located?
The facilities of Kidney Dialysis Center Of Pismo Beach, Llc are physically situated at the following location: 320 James Way, Pismo Beach, CA, 934492813.
What is Kidney Dialysis Center Of Pismo Beach, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kidney Dialysis Center Of Pismo Beach, Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Kidney Dialysis Center Of Pismo Beach, Llc receive its 1518902758 assignment from the Centers for Medicare & Medicaid Services?
The Kidney Dialysis Center Of Pismo Beach, Llc was assigned its 1518902758 by the Centers for Medicare & Medicaid Services on 2006-06-19.
When was the information related to Kidney Dialysis Center Of Pismo Beach, Llc most recently updated or refreshed?
The details pertaining to the Kidney Dialysis Center Of Pismo Beach, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-30.