WEST COAST DIALYSIS CENTER INC. NPI 1457323677

NPI Information

NPI: 1457323677
Provider Name: WEST COAST DIALYSIS CENTER, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3780 KILROY AIRPORT WAY
110
LONG BEACH, CA
ZIP 90806
Phone: (562) 989-3010
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WEST COAST DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Long Beach, CA. WEST COAST DIALYSIS CENTER, INC. NPI is 1457323677. The provider is registered as an organization entity type.

The provider's business location address is:

3780 KILROY AIRPORT WAY
110
LONG BEACH, CA
ZIP 90806-457
Phone: (562) 989-3010
Fax: (562) 989-3016

The provider's authorized official is Jerry Green .
The authorized official title is Secretary and has the following contact phone number (562) 495-8075.

The enumeration date for this NPI number is 2/2/2006 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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		CALIFORNIA	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	CDC02747F	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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