RENAL TREATMENT CENTERS CALIFORNIA INC NPI 1215032404

NPI Information

RENAL TREATMENT CENTERS CALIFORNIA INC is an end-stage renal disease (esrd) treatment clinic center in Long Beach, CA. RENAL TREATMENT CENTERS CALIFORNIA INC NPI is 1215032404. The provider is registered as an organization entity type.
The provider Is Doing Business As Long Beach Harbor Ucla.

The provider's business location address is:

1075 E PACIFIC COAST HWY
LONG BEACH, CA
ZIP 90806-089
Phone: (562) 599-1511
Fax: (562) 599-1922

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D1059130 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/17/2023.

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:

Other Identifiers

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

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