SULA DIALYSIS LLC NPI 1346699600

NPI Information

SULA DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Palm Desert, CA. SULA DIALYSIS, LLC NPI is 1346699600. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Sands Home Training.

The provider's business location address is:

78030 WILDCAT DR
STE 102
PALM DESERT, CA
ZIP 92211-116
Phone: (760) 772-5608
Fax: (760) 345-8973

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D2126317 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 8/24/2023.

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

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