Tustin Dialysis Center Llc in Santa Ana - End-stage Renal Disease (esrd) Treatment

Tustin Dialysis Center Llc - NPI 1174586226

Tustin Dialysis Center Llc is a End-stage Renal Disease (esrd) Treatment in Santa Ana, California. Tustin Dialysis Center Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Tustin Dialysis Center Llc is 1174586226. The last update date is 2022-01-12.

Tustin Dialysis Center Llc's current location address is 2090 N Tustin Ave, Santa Ana, California. You can contact this provider via phone number 7148352450 and fax number 7148355715. The mailing address for Tustin Dialysis Center Llc is 2090 N Tustin Ave, Santa Ana, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tustin Dialysis Center Llc
Address 2090 N Tustin Ave, Santa Ana, California
Phone Number 7148352450
Fax Number 7148355715
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel D. John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1174586226
Provider Enumeration Date 2006-04-10
Last Updated Date 2022-01-12

Provider Mailing Address Detail

Address 2090 N Tustin Ave
City Santa Ana
State California (CA)
Post Code 927057869
Phone Number 7148352450
Fax Number 7148355715

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 80000766
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
1174586226 CA --

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FAQs about Tustin Dialysis Center Llc

What is the unique 10-digit identifier code assigned to Tustin Dialysis Center Llc by the Centers for Medicare & Medicaid Services?

The Tustin Dialysis Center Llc has been issued the NPI (National Provider Identifier) 1174586226 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Tustin Dialysis Center Llc is located?

The Tustin Dialysis Center Llc is situated at the following address: 2090 N Tustin Ave, Santa Ana, CA, 927057869.

What is Tustin Dialysis Center Llc's area of expertise and its corresponding taxonomy classification?

The Tustin Dialysis Center Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174586226 to Tustin Dialysis Center Llc?

The Centers for Medicare & Medicaid Services originally issued the 1174586226 to Tustin Dialysis Center Llc on 2006-04-10.

When was the information regarding Tustin Dialysis Center Llc most recently updated?

The details pertaining to the Tustin Dialysis Center Llc, including its address, specialty, and other relevant information, were last refreshed on 2022-01-12.

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