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BALDWIN HILLS DIALYSIS CENTER NPI 1245344654


NPI Information

NPI: 1245344654
Provider Name: BALDWIN HILLS DIALYSIS CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3705 S. LABREA AVE.
LOS ANGELES, CA
ZIP 90016
Phone: (323) 293-4488
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BALDWIN HILLS DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. BALDWIN HILLS DIALYSIS CENTER NPI is 1245344654. The provider is registered as an organization entity type.

The provider's business location address is:

3705 S. LABREA AVE.
LOS ANGELES, CA
ZIP 90016
Phone: (323) 293-4488
Fax: (323) 293-4499

The provider's authorized official is Richard S. Horowitz .
The authorized official title is Medical Director and has the following contact phone number (323) 293-4488.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment930000904CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ57405ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2CDC02806FMEDICAIDCALIFORNIA
3052806MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 4/28/2024

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