SANTA CLARITA DIALYSIS LLC NPI 1083087928

NPI Information

NPI: 1083087928
Provider Name: SANTA CLARITA DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2106358

Address:
23421 LYONS AVE
SANTA CLARITA, CA
ZIP 91355
Phone: (818) 365-1194
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SANTA CLARITA DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Santa Clarita, CA. SANTA CLARITA DIALYSIS, LLC NPI is 1083087928. The provider is registered as an organization entity type.

The provider's business location address is:

23421 LYONS AVE
SANTA CLARITA, CA
ZIP 91355-028
Phone: (818) 365-1194

The provider's authorized official is Omaran Abdeen .
The authorized official title is Managing Partner and has the following contact phone number (818) 365-1194.

The CLIA number assigned to this NPI record is 05D2106358 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2015 and was last updated on 10/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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