Innovative Dialysis Center Of West Los Angeles, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Los Angeles, CA. Organization (NPI-2).
NPI number1154668986
StatusActive
Last updated in NPPESOct 28, 2013
Details
- NPI
- 1154668986
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Dialysis Center Of West Los Angeles, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 14, 2013
- Last updated
- Oct 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- U.S. Renal Care West Los Angeles Dialysis (Doing Business As)
Practice location
1801 S La Cienega BlvdSuite 100
Los Angeles, CA 90035-4641
Phone 310-840-5688 · Fax 310-840-5690
Mailing address
1 World Trade CtrSte 2500
Long Beach, CA 90831-0002
Phone 562-495-8075 · Fax 562-495-8076
Authorized official
Thomas L. Weinberg
Authorized Official
2147362700
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