Evn Dialysis Center, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Reseda, CA. Organization (NPI-2).
NPI number1962050757
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1962050757
- Entity type
- Organization (NPI-2)
- Legal business name
- Evn Dialysis Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2019
- Certification date
- Jul 28, 2021
- Last updated
- Jul 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
18040 Sherman Way Ste 100Reseda, CA 91335-4656
Phone 818-457-3949 · Fax 818-609-0076
Mailing address
18040 Sherman Way Ste 100Reseda, CA 91335-4656
Phone 818-457-3949 · Fax 818-609-0076
Authorized official
Gunda Jahromi
Partner
8184573949
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