Organization · Type 2 NPI

Greater Los Angeles Dialysis Centers LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Los Angeles, CA

NPI number 1003879081 Active

Practice location

3986 S Figueroa St
Los Angeles, CA 90037-1222

Call (213) 749-8297 Map

Fax (213) 749-0472

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	930000461 (CA)

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

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NPI record

NPI: 1003879081
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Jun 7, 2024
Status: Active

Other names

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University Park Dialysis Center · doing business as
University Park Dialysis Center · doing business as

Authorized official

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

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About NPI 1003879081

Greater Los Angeles Dialysis Centers LLC's National Provider Identifier is 1003879081, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 7, 2024.