HACIENDA DIALYSIS CENTER, A MEDICAL CORP.


Address: 2020 S Hacienda Blvd, Hacienda Heights, CA 91745-4265
Phone: 6269689558

HACIENDA DIALYSIS CENTER, A MEDICAL CORP. (NPI# 1457342677) 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) 1457342677
Entity Type Organization
Organization Name HACIENDA DIALYSIS CENTER, A MEDICAL CORP.
Practice Address 2020 S Hacienda Blvd
Hacienda Heights
CA 91745-4265
Practice Telephone 6269689558
Practice Fax Number 6269687787
Mailing Telephone 6269689558
Mailing Fax Number 6269687787
Enumeration Date 2005-11-04
Last Update Date 2008-02-19
Authorized Official Name MRS. MARY SHIH (ADMINISTRATOR)
Authorized Official Telephone 6269689558
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
930000972 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA CDC02879F 05

Office Location

Street Address 2020 S HACIENDA BLVD
City HACIENDA HEIGHTS
State CA
Zip Code 91745-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518166800 Erya Ma Acupuncturist 2020 S Hacienda Blvd, Suite D, Hacienda Heights, CA 91745-4265 2007-07-16
1891840187 Chen-hao Yang Acupuncturist 2020 S Hacienda Blvd, #d, Hacienda Heights, CA 91745-4265 2007-01-24
1669489373 Chih-hsin Hsieh Dentist 2020 S Hacienda Blvd, Suite A, Hacienda Heights, CA 91745 2006-08-02
1245251842 Yihsiang Lin Chiropractic Professional Corporation Chiropractor 2020 S Hacienda Blvd, D, Hacienda Heights, CA 91745-4265 2006-07-21
1063441392 Yi-hsiang Lin Chiropractor 2020 S Hacienda Blvd, Suite D, Hacienda Heights, CA 91745-4265 2006-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528534963 Dr Huang's Dental Corp Clinic/Center 15724 E Gale Av, Hacienda Heights, CA 91745 2018-10-23
1427570175 Christopher Aoyama Chiropractic Corporation Chiropractor 2131 S. Hacienda Blvd., Hacienda Heights, CA 91745 2017-07-14
1194175695 Wu Ying Acupuncturist 14601 Wedgeworth Dr., Hacienda Heights, CA 91745 2016-06-15
1417317975 Helen Xu Pharmacist 15578 E Gale Ave, Hacienda Heights, CA 91745 2016-02-26
1962869545 Optometrx Optometrist 17134b Colima Road, Hacienda Heights, CA 91745 2016-01-27
1033526561 Eric Han-peng Huang Dentist 15220 Los Robles Ave, Hacienda Heights, CA 91745 2014-07-16
1548686686 Vicki Lufei Acupuncturist 15568 Cristalino St., Hacienda Heights, CA 91745 2014-03-13
1821433822 Zhigang Liu Acupuncturist 15896 E Gale Ave., Hacienda Heights, CA 91745 2013-05-03
1043559230 Viola S. Iskarous Dentist 2440 South Hacienda Blvd, Suite 233, Hacienda Heights, CA 91745 2013-02-07
1992059836 Young Kim, Dds, Inc. Dentist 16388 Colima Road, Suite #201, Hacienda Heights, CA 91745 2012-10-30
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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...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306444765 Kinter Dialysis, LLC Clinic/Center 1055 El Camino Real, Colma, CA 94014-3234 2020-10-16
1063010734 Monad Dialysis, LLC Clinic/Center 5238 Manzanita Ave, Carmichael, CA 95608-0510 2020-10-14
1891305462 Auberry's Home Hemo Dialysis Clinic/Center 8200 S Normandie Ave, Los Angeles, CA 90044-2336 2020-08-07
1376152645 Navin Dialysis, LLC Clinic/Center 4314 E Jensen Ave, Fresno, CA 93706-9049 2020-07-23
1669080107 Total Renal Care Inc Clinic/Center 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 2020-07-21
1659997112 Arbela Dialysis LLC Clinic/Center 900 Huntington Dr Ste B, San Marino, CA 91108-1825 2020-06-22
1275158487 Cudahy Peritoneal Dialysis Center Clinic/Center 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 2020-06-12
1659994903 Bio Medical Applications of California Inc Clinic/Center 1287 N Hacienda Blvd, La Puente, CA 91744-1631 2020-05-21
1245853654 Culbert Dialysis LLC Clinic/Center 4223 E Anaheim St, Long Beach, CA 90804-4202 2020-05-20
1790308179 Palo Dialysis LLC Clinic/Center 10211 Long Beach Road, Lynwood, CA 90262-1508 2020-05-20
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Competitor

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City HACIENDA HEIGHTS
Zip Code 91745

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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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