WHITTIER KIDNEY DIALYSIS CENTER NPI 1538210208

NPI Information

WHITTIER KIDNEY DIALYSIS CENTER is a specialist in Whittier, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WHITTIER KIDNEY DIALYSIS CENTER NPI is 1538210208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16417 WHITTIER BLVD
WHITTIER, CA
ZIP 90603-044
Phone: (562) 947-8999
Fax: (562) 947-8987

The provider's authorized official is Riad Darwish .
The authorized official title is Chief Executive Officer and has the following contact phone number (562) 947-8999.

The CLIA number assigned to this NPI record is 05D0993912 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/1/2008.

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:

Other Identifiers

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