Intercommunity Dialysis Center-La Mirada

LBN: Intercommunity Dialysis Center-La Mirada
Intercommunity Dialysis Center-La Mirada is an health care organization with primary practice located at 15060 Imperial Hwy , La Mirada CA 90638-1301. 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. Intercommunity Dialysis Center-La Mirada can be contacted via phone (562) 696-1841, or through Rogers, Delores Gayle via phone (562) 696-1841.

Contact Information

Primary practice address
15060 Imperial Hwy La Mirada CA 90638-1301
Phone: (562) 696-1841
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Delores Gayle Licensed Clinical Social Worker (LCSW)
Phone: (562) 696-1841

Health care specialties

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

Profile Details

NPI number 1114461043
LBN Legal business name Intercommunity Dialysis Center-La Mirada
DBA Doing business as
Authorized official Rogers, Delores Gayle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2016
Last updated Dec 12th, 2016 - about 10 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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