KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC NPI 1104111491

NPI Information

KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC NPI is 1104111491. The provider is registered as an organization entity type.

The provider's business location address is:

3705 S LA BREA AVE
LOS ANGELES, CA
ZIP 90016-309
Phone: (323) 293-4488
Fax: (323) 293-4499

The provider's authorized official is Manisha Patel .
The authorized official title is Ar Director and has the following contact phone number (805) 433-7555.

The CLIA number assigned to this NPI record is 05D1009637 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2011 and was last updated on 8/5/2011.

Taxonomy Codes

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Other Identifiers

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