EAST LA DIALYSIS CENTER (NPI# 1528105293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528105293 |
| Entity Type | Organization |
| Organization Name | EAST LA DIALYSIS CENTER |
| Practice Address |
5830 Whittier Blvd Los Angeles CA 90022-4302 |
| Mailing Address |
3810 Katella Ave Los Alamitos CA 90720-3302 |
| Practice Telephone | 3238878545 |
| Mailing Telephone | 5624268881 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAHER A. AZER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5624268881 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC52574F | 05 |
| Street Address |
5830 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639231327 | Academic Medical Research Institute Inc | Internal Medicine | 5830 Whittier Blvd, Los Angeles, CA 90022-4302 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1720630304 | Kpc Global Dialysis Center of Los Angeles LLC | Clinic/Center | 201 S Alvarado St Ste 220, Los Angeles, CA 90057-2388 | 2019-07-12 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| 1326544925 | Braddock Dialysis LLC | Clinic/Center | 11239 S Western Ave, Los Angeles, CA 90047-4848 | 2018-04-03 |
| 1205388246 | Fresenius Medical Care Ventures, LLC | Clinic/Center | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1629424726 | Downtown Dialysis LLC | Clinic/Center | 2511 W 3rd St, Los Angeles, CA 90057-1923 | 2016-05-06 |
| 1669839973 | Bio-medical Applications of California, Inc. | Clinic/Center | 3575 E Whittier Blvd, Los Angeles, CA 90023-1709 | 2016-01-19 |
| 1588031322 | Barnnyjepp, LLC | Clinic/Center | 1145 W 6th St, Los Angeles, CA 90017-1828 | 2015-08-27 |
| 1811235161 | Total Renal Care Inc | Clinic/Center | 1936 E 1st St, Los Angeles, CA 90033-3413 | 2013-01-22 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on EAST LA DIALYSIS CENTER.
| 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.