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Pokagon Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montebello, California
NPI 1679990543

Pokagon Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Pokagon Dialysis, Llc practices in Montebello, CA. The NPI Number for Pokagon Dialysis, Llc is 1679990543 and holds a License No. 550002814 (California).

The current practice location address for Pokagon Dialysis, Llc is 100 Washington Blvd, Montebello, CA and can be reached out via phone at 323-728-2984 and via fax at 323-726-6747.

Location: 100 Washington Blvd, Montebello, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679990543
Provider Name
Pokagon Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
100 Washington Blvd, Montebello, CA, 37027-7569
Phone Number
323-728-2984
Fax Number
323-726-6747
Provider Enumeration Date
03/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Washington Blvd
City
Montebello
State
California
Zip
90640-6211
Phone Number
323-728-2984
Fax Number
323-726-6747
person
Provider Business Mailing Address Details
Address
100 Washington Blvd
City
Montebello
State
California
Zip
90640-6211
Phone Number
323-728-2984
Fax Number
323-726-6747
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
550002814 (California)
Definition
Definition to come...
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