Organization · Type 2 NPI

Hawaiian Gardens Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hawaiian Gardens, CA

NPI number 1437397536 Active

Practice location

12191 226th St
Hawaiian Gardens, CA 90716-1510

Call (562) 421-4016 Map

Fax (562) 421-4652

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	550001463 (CA)

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

NPI record

NPI: 1437397536
Entity type: Organization (Type 2)
Issued: Jan 27, 2009
Last updated: Aug 4, 2020
Status: Active

Other names

<unavail>
South Cerritos Dialysis · doing business as
South Cerritos Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437397536

Hawaiian Gardens Dialysis Center LLC's National Provider Identifier is 1437397536, issued on Jan 27, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hawaiian Gardens, CA. The record was last updated on Aug 4, 2020.