KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC


Address: 3705 S La Brea Ave, Los Angeles, CA 90016-5309
Phone: 3232934488

KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC (NPI# 1104111491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104111491
Entity Type Organization
Organization Name KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC
Practice Address 3705 S La Brea Ave
Los Angeles
CA 90016-5309
Mailing Address Po Box 940838
Simi Valley
CA 93094-0838
Practice Telephone 3232934488
Practice Fax Number 3232934499
Mailing Telephone 8054337777
Enumeration Date 2011-06-14
Last Update Date 2011-08-05
Authorized Official Name MANISHA PATEL (AR DIRECTOR)
Authorized Official Telephone 8054337555
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA CDC02806F 05

Office Location

Street Address 3705 S LA BREA AVE
City LOS ANGELES
State CA
Zip Code 90016-5309

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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