CITRUS DIALYSIS CENTER INC. NPI 1255342861

NPI Information

  • NPI: 1255342861
  • Provider Name: CITRUS DIALYSIS CENTER, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 05D0718934
  • Address: 315 N 3RD AVE
    SUITE 104
    COVINA, CA
    ZIP 91723
  • Phone: (626) 331-0133

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NPI Details

CITRUS DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Covina, CA. CITRUS DIALYSIS CENTER, INC. NPI is 1255342861. The provider is registered as an organization entity type.

The provider's business location address is:

315 N 3RD AVE
SUITE 104
COVINA, CA
ZIP 91723-905
Phone: (626) 331-0133
Fax: (626) 331-6649

The provider's authorized official is Mojtaba Moghadam .
The authorized official title is President and has the following contact phone number (909) 542-2900.

The CLIA number assigned to this NPI record is 05D0718934 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.

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) TreatmentCALIFORNIAYes

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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