FRESENIUS MEDICAL CARE GLENDALE LLC NPI 1396111886

NPI Information

FRESENIUS MEDICAL CARE GLENDALE, LLC is an end-stage renal disease (esrd) treatment clinic center in Glendale, CA. FRESENIUS MEDICAL CARE GLENDALE, LLC NPI is 1396111886. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care West Glendale.

The provider's business location address is:

623 S CENTRAL AVE
GLENDALE, CA
ZIP 91204-008
Phone: (818) 240-1063
Fax: (818) 240-1107

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D2119627 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 10/19/2023.

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:

Other Identifiers

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