INTERCOMMUNITY DIALYSIS CENTER-LA MIRADA is an end-stage renal disease (esrd) treatment clinic center in La Mirada, CA. INTERCOMMUNITY DIALYSIS CENTER-LA MIRADA NPI is 1114461043. The provider is registered as an organization entity type.
The provider's business location address is:
15060 IMPERIAL HWY LA MIRADA, CA ZIP 90638-301 Phone: (562) 696-1841
The provider's authorized official is Delores Gayle Rogers . The authorized official title is Social Worker and has the following contact phone number (562) 696-1841.
The CLIA number assigned to this NPI record is 05D0865164 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.
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:
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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