300 S Robertson Dialysis, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Los Angeles, CA. Organization (NPI-2).
NPI number1962473025
StatusActive
Last updated in NPPESNov 14, 2014
Details
- NPI
- 1962473025
- Entity type
- Organization (NPI-2)
- Legal business name
- 300 S Robertson Dialysis, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 27, 2006
- Last updated
- Nov 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 930000915 | CA | Yes |
Other names
- U.S. Renal Care Westside Dialysis (Doing Business As)
Practice location
300 S Robertson BlvdLos Angeles, CA 90048-3806
Phone 310-385-8683 · Fax 310-385-0516
Mailing address
Po Box 749124Los Angeles, CA 90074-9124
Phone 562-495-8075 · Fax 562-495-8076
Authorized official
Thomas L Weinberg
Authorized Official
2147362700
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