QUEEN'S DIALYSIS UNIT, INC. (NPI# 1710998380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710998380 |
| Entity Type | Organization |
| Organization Name | QUEEN'S DIALYSIS UNIT, INC. |
| Practice Address |
1135 S Sunset Ave Suite 103 West Covina CA 91790-3937 |
| Mailing Address |
1335 Cypress Street Suite 207 San Dimas CA 91773-3537 |
| Practice Telephone | 6263374245 |
| Practice Fax Number | 6264800761 |
| Mailing Telephone | 9095422900 |
| Mailing Fax Number | 9095926000 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CLAUDIO H. GALLEGO (PRESIDENT) |
| Authorized Official Telephone | 9095422900 |
| Authorized Official Credential | M.D. |
| 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 |
| Street Address |
1135 S SUNSET AVE SUITE 103 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023979 | Brian J Leberthon | Internal Medicine | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2005-12-07 |
| 1881142438 | Suwen Pan | Nurse Practitioner | 1135 S Sunset Ave, West Covina, CA 91790-3937 | 2016-09-13 |
| 1013329721 | Debra Tasic | Genetic Counselor, MS | 1135 S Sunset Ave, Suite 402, West Covina, CA 91790-3937 | 2014-05-29 |
| 1770906117 | Citrus Treatment Center | Clinic/Center | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2014-01-21 |
| 1386073096 | Joseph L Lin Md Inc | Ophthalmology | 1135 S Sunset Ave, Suite 210, West Covina, CA 91790-3937 | 2013-11-03 |
| 1568707750 | Brian Leberthon | Clinic/Center | 1135 S Sunset Ave, 207, West Covina, CA 91790-3937 | 2012-11-29 |
| 1659623379 | Lindsay Arellano | Physician Assistant | 1135 S Sunset Ave, Suite # 405, West Covina, CA 91790-3937 | 2012-10-04 |
| 1164778759 | Bill W. Tang, Md A Med Corp | Clinic/Center | 1135 S Sunset Ave, #206, West Covina, CA 91790-3937 | 2012-08-01 |
| 1417255498 | Robert Arnold Abrams D P M A Podiatry Corporation | Podiatrist | 1135 S Sunset Ave, Suite 107, West Covina, CA 91790-3937 | 2011-03-01 |
| 1194025858 | Pacific Sleep Medicine, A Medical Corp | Clinic/Center | 1135 S Sunset Ave, Suite 307, West Covina, CA 91790-3937 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1154433951 | Bio-medical Applications of California, Inc. | Clinic/Center | 1540 W West Covina Pkwy Ste 101, West Covina, CA 91790-2703 | 2006-08-31 |
| 1639130206 | Total Renal Care Inc | Clinic/Center | 1547 W Garvey Ave N, West Covina, CA 91790-2139 | 2006-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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| 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.