Organization · Type 2 NPI

Glassland Dialysis LLC

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

NPI number 1841547460 Active

Practice location

3901 S Western Ave
Los Angeles, CA 90062-1112

Call (323) 294-0670 Map

Fax (323) 294-0499

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	930000446 (CA)

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

2 other providers at this address

Los Angeles Dialysis CenterEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Los Angeles, CA NPI 1558320366
Gina Nabil HarounAddiction (Substance Use Disorder) Counselor Los Angeles, CA NPI 1437708716

Other end-stage renal disease (esrd) treatment clinic/center providers in Los Angeles

See all in Los Angeles →

NPI record

NPI: 1841547460
Entity type: Organization (Type 2)
Issued: Aug 14, 2012
Last updated: Jul 16, 2024
Status: Active

Other names

<unavail>
Los Angeles Dialysis Center · doing business as
Los Angeles Dialysis Center · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1841547460

Glassland Dialysis LLC's National Provider Identifier is 1841547460, issued on Aug 14, 2012. 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 Jul 16, 2024.