Organization · Type 2 NPI

Innovative Dialysis Center of Northridge, LLC

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

NPI number 1477890291 Active

Practice location

18546 Roscoe Blvd, Suite 108
Northridge, CA 91324-4663

Call (818) 886-3771 Map

Fax (818) 886-5734

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1477890291

Innovative Dialysis Center of Northridge, LLC's National Provider Identifier is 1477890291, 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 Northridge, CA. The record was last updated on Aug 3, 2020.