SATELLITE DIALYSIS OF LYNWOOD LLC NPI 1376859108

NPI Information

NPI: 1376859108
Provider Name: SATELLITE DIALYSIS OF LYNWOOD LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Address: 8716 GARFIELD AVE
STE 100
SOUTH GATE, CA
ZIP 90280
Phone: (562) 674-2600

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NPI Details

SATELLITE DIALYSIS OF LYNWOOD LLC is an end-stage renal disease (esrd) treatment clinic center in South Gate, CA. SATELLITE DIALYSIS OF LYNWOOD LLC NPI is 1376859108. The provider is registered as an organization entity type.

The provider's business location address is:

8716 GARFIELD AVE
STE 100
SOUTH GATE, CA
ZIP 90280-723
Phone: (562) 674-2600
Fax: (562) 928-9304

The provider's authorized official is Margarita Guizar .
The authorized official title is Compliance & Risk Director and has the following contact phone number (650) 404-3771.

The enumeration date for this NPI number is 8/31/2010 and was last updated on 4/29/2020.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1376859108	MEDICAID	CALIFORNIA
2	550001699	OTHER	CALIFORNIA	STATE LICENSE
3	05D2020393	OTHER	CALIFORNIA	CLIA CERTIFICATE OF WAIVER

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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