PERITONEAL DIALYSIS CENTER OF AMERICA INC NPI 1750495669

NPI Information

PERITONEAL DIALYSIS CENTER OF AMERICA, INC is a specialist in Montebello, 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. PERITONEAL DIALYSIS CENTER OF AMERICA, INC NPI is 1750495669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3112 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-217
Phone: (323) 722-2053
Fax: (323) 722-2063

The provider's authorized official is Pradip Cp Chowdhury .
The authorized official title is Vice President and has the following contact phone number (323) 371-4182.

The CLIA number assigned to this NPI record is 05D1086277 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 1/20/2021.

Taxonomy Codes

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Other Identifiers

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