Organization · Type 2 NPI

Greater Los Angeles Dialysis Centers LLC

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

NPI number 1174586192 Active

Practice location

1212 Wilshire Blvd
Los Angeles, CA 90017-1902

Call (213) 482-5181 Map

Fax (213) 482-4470

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	930000348 (CA)

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

Another provider at this address

Jesenia CamachoDental Assistant Los Angeles, CA NPI 1235456823

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NPI record

NPI: 1174586192
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Jun 6, 2024
Status: Active

Other names

<unavail>
Wilshire Dialysis Center · doing business as
Wilshire Dialysis Center · doing business as

Authorized official

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

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About NPI 1174586192

Greater Los Angeles Dialysis Centers LLC's National Provider Identifier is 1174586192, 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 6, 2024.