HEMODIALYSIS INC. NPI 1003815986

NPI Information

NPI: 1003815986
Provider Name: HEMODIALYSIS, INC.

Doing Business As: GLENDALE HEMODIALYSIS FACILITY

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1560 E CHEVY CHASE DR
#160
GLENDALE, CA
ZIP 91206
Phone: (818) 240-9970
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HEMODIALYSIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Glendale, CA. HEMODIALYSIS, INC. NPI is 1003815986. The provider is registered as an organization entity type.
The provider Is Doing Business As Glendale Hemodialysis Facility.

The provider's business location address is:

1560 E CHEVY CHASE DR
#160
GLENDALE, CA
ZIP 91206-197
Phone: (818) 240-9970

The provider's authorized official is John R De Palma .
The authorized official title is C.e.o./president and has the following contact phone number (818) 500-8736.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 8/22/2020.

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		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DIA7001F	MEDICAID	CALIFORNIA

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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