Organization · Type 2 NPI

Innovative Dialysis Centers of la Jolla LLC

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

NPI number 1982954871 Active

Practice location

2082 Otay Lakes Rd, Suite A-1
Chula Vista, CA 91915-1367

Call (619) 482-8207 Map

Fax (619) 482-8512

Mailing address

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

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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NPI record

NPI: 1982954871
Entity type: Organization (Type 2)
Issued: Sep 18, 2012
Last updated: Nov 14, 2013
Status: Active
Subpart: Yes of U.s. Renal Care, Inc.

Other names

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U.s. Renal Care Chula Vista Home Dialysis · doing business as

Authorized official

Thomas L. Weinberg
Authorized Official
(214) 736-2700

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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 1982954871

Innovative Dialysis Centers of la Jolla LLC's National Provider Identifier is 1982954871, issued on Sep 18, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chula Vista, CA. The record was last updated on Nov 14, 2013.