institution
Greater Los Angeles Dialysis Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South El Monte, California
NPI 1922181056

Greater Los Angeles Dialysis Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Gabriel, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Greater Los Angeles Dialysis Inc practices in South El Monte, CA. The NPI Number for Greater Los Angeles Dialysis Inc is 1922181056 and holds a License No. 930000865 (California).

The current practice location address for Greater Los Angeles Dialysis Inc is 11204 Rush St, South El Monte, CA and can be reached out via phone at 626-571-4596 and via fax at 626-571-1706.

Location: 11204 Rush St, South El Monte, CA, 91776-3930
institution
Provider Profile Details
NPI Number
1922181056
Provider Name
Greater Los Angeles Dialysis Inc
Credential
Provider Entity Type
Organization
Address
11204 Rush St, South El Monte, CA, 91776-3930
Phone Number
626-571-4596
Fax Number
626-571-1706
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDC02755F 05 CA
ZZZ52324Z 01 CA BLUE SHIELD INSURANCE
institution
Provider Business Practice Location Address Details
Address
11204 Rush St
City
State
Zip
91733-3551
Phone Number
626-571-4596
Fax Number
626-571-1706
person
Provider Business Mailing Address Details
Address
11204 Rush St
City
State
Zip
91733-3551
Phone Number
626-571-4596
Fax Number
626-571-1706
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
930000865 (California)
Definition
Definition to come...
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