GREATER LOS ANGELES DIALYSIS CENTERS LLC NPI 1003879081

NPI Information

  • NPI: 1003879081
  • Provider Name: GREATER LOS ANGELES DIALYSIS CENTERS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: UNIVERSITY PARK DIALYSIS CENTER
  • CLIA Number: 05D0663606
  • Address: 3986 S FIGUEROA ST
    LOS ANGELES, CA
    ZIP 90037
  • Phone: (213) 749-8297

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NPI Details

GREATER LOS ANGELES DIALYSIS CENTERS LLC is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. GREATER LOS ANGELES DIALYSIS CENTERS LLC NPI is 1003879081. The provider is registered as an organization entity type.
The provider Is Doing Business As University Park Dialysis Center.

The provider's business location address is:

3986 S FIGUEROA ST
LOS ANGELES, CA
ZIP 90037-222
Phone: (213) 749-8297
Fax: (213) 749-0472

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D0663606 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 6/7/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment930000461CALIFORNIAYes

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
11003879081MEDICAIDCALIFORNIA

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: 3/30/2025

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