Bastanchury Dialysis

LBN: Hazelton Dialysis Llc
Bastanchury Dialysis is an health care organization with primary practice located at 1950 Sunnycrest Dr Ste 1300, Fullerton CA 92835-3639. 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. Hazelton Dialysis Llc can be contacted via phone (714) 578-0015, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
1950 Sunnycrest Dr Ste 1300 Fullerton CA 92835-3639
Phone: (714) 578-0015
Fax: (714) 578-5907
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

Profile Details

NPI number 1154755163
LBN Legal business name Hazelton Dialysis Llc
DBA Doing business as Bastanchury Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2013
Last updated Mar 17th, 2022 - about 4 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 1154755163 NPPES
California MEDICAID 1154755163

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