Moreno Valley Dialysis

LBN: Flagler Dialysis Llc
Moreno Valley Dialysis is an health care organization with primary practice located at 22620 Goldencrest Dr Ste 101, Moreno Valley CA 92553-9032. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Flagler Dialysis Llc can be contacted via phone (951) 656-3804, or through Winstel, John D. via phone (253) 733-4501.

Contact Information

Primary practice address
22620 Goldencrest Dr Ste 101 Moreno Valley CA 92553-9032
Phone: (951) 656-3804
Fax: (951) 656-7508
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D.
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 240000808 California

Profile Details

NPI number 1346590106
LBN Legal business name Flagler Dialysis Llc
DBA Doing business as Moreno Valley Dialysis
Authorized official Winstel, John D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Feb 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346590106 NPPES
California MEDICAID 1346590106

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