Hidden Valley Dialysis

LBN: Jenness Dialysis Llc
Hidden Valley Dialysis is an health care organization with primary practice located at 1951 Citracado Pkwy , Escondido CA 92029-4158. 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. Jenness Dialysis Llc can be contacted via phone (760) 746-0464, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
1951 Citracado Pkwy Escondido CA 92029-4158
Phone: (760) 746-0464
Fax: (760) 746-0402
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 1215443411
LBN Legal business name Jenness Dialysis Llc
DBA Doing business as Hidden Valley Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2017
Last updated Jun 6th, 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 1215443411 NPPES
California MEDICAID 1215443411

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