Organization · Type 2 NPI

Innovative Dialysis Center of West Los Angeles, LLC

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

NPI number 1154668986 Active

Practice location

1801 S La Cienega Blvd, Suite 100
Los Angeles, CA 90035-4641

Call (310) 840-5688 Map

Fax (310) 840-5690

Mailing address

1 World Trade Ctr, Ste 2500
Long Beach, CA 90831-0002

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...

4 other providers at this address

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NPI record

NPI: 1154668986
Entity type: Organization (Type 2)
Issued: Jan 14, 2013
Last updated: Oct 28, 2013
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care West Los Angeles Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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About NPI 1154668986

Innovative Dialysis Center of West Los Angeles, LLC's National Provider Identifier is 1154668986, issued on Jan 14, 2013. 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 Oct 28, 2013.