Greater Los Angeles Dialysis Inc

LBN: Greater Los Angeles Dialysis Inc
Greater Los Angeles Dialysis Inc is an health care organization with primary practice located at 11204 Rush St , South El Monte CA 91733-3551. 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. Greater Los Angeles Dialysis Inc can be contacted via phone (626) 571-4596, or through De Peralta, Marino B via phone (626) 571-4596.

Contact Information

Primary practice address
11204 Rush St South El Monte CA 91733-3551
Phone: (626) 571-4596
Fax: (626) 571-1706
Website:
Map and Directions
Authorized official contact:
Name: De Peralta, Marino B
Phone: (626) 571-4596

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000865 California

Profile Details

NPI number 1922181056
LBN Legal business name Greater Los Angeles Dialysis Inc
DBA Doing business as
Authorized official De Peralta, Marino B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jun 30th, 2009 - about 17 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 1922181056 NPPES
California MEDICAID CDC02755F
California Other ZZZ52324Z

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