Organization · Type 2 NPI
Sparks Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Long Beach, CA
NPI number
1316511397
Active
Practice location
3140 Long Beach Blvd
Long Beach, CA 90807-5061
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
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...
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About NPI 1316511397
Sparks Dialysis LLC's National Provider Identifier is 1316511397, issued on May 14, 2021. 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 May 14, 2021.