CENTRO DE CUIDADO RENAL LLC NPI 1255961397

NPI Information

  • NPI: 1255961397
  • Provider Name: CENTRO DE CUIDADO RENAL, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 05D2271471
  • Address: 5949 STATE ST
    HUNTINGTON PARK, CA
    ZIP 90255
  • Phone: (323) 400-6595

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NPI Details

CENTRO DE CUIDADO RENAL, LLC is an end-stage renal disease (esrd) treatment clinic center in Huntington Park, CA. CENTRO DE CUIDADO RENAL, LLC NPI is 1255961397. The provider is registered as an organization entity type.

The provider's business location address is:

5949 STATE ST
HUNTINGTON PARK, CA
ZIP 90255-139
Phone: (323) 400-6595

The provider's authorized official is Gunda Jahromi .
The authorized official title is Corp Secretary and has the following contact phone number (323) 400-6522.

The CLIA number assigned to this NPI record is 05D2271471 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 5/19/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 11/21/2025

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