Organization · Type 2 NPI
Intercommunity Dialysis Center-La Mirada
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · La Mirada, CA
NPI number
1114461043
Active
Practice location
15060 Imperial Hwy
La Mirada, CA 90638-1301
Mailing address
PO Box 6367
Whittier, CA 90609-6367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
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- Srs-La Mirada LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center La Mirada, CA NPI 1538845474
- Hawarren Dialysis, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center La Mirada, CA NPI 1669253498
About NPI 1114461043
Intercommunity Dialysis Center-La Mirada's National Provider Identifier is 1114461043, issued on Dec 12, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in La Mirada, CA. The record was last updated on Dec 12, 2016.