Organization · Type 2 NPI

Long Beach Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Long Beach, CA

NPI number 1003024647 Active

Practice location

3744 Long Beach Blvd
Long Beach, CA 90807-3310

Call (562) 424-1403 Map

Fax (562) 424-4310

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	550000754 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1003024647
Entity type: Organization (Type 2)
Issued: May 18, 2007
Last updated: Oct 12, 2026
Status: Active

Other names

<unavail>
Bixby Knolls Dialysis · doing business as
Bixby Knolls Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1003024647

Long Beach Dialysis Center LLC's National Provider Identifier is 1003024647, issued on May 18, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Long Beach, CA. The record was last updated on Oct 12, 2026.