KINNICK DIALYSIS LLC NPI 1467941534

NPI Information

NPI: 1467941534
Provider Name: KINNICK DIALYSIS LLC

Doing Business As: ROSE CITY DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1382 LOCUST ST
PASADENA, CA
ZIP 91106
Phone: (626) 395-7769
Get Directions

KINNICK DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pasadena, CA. KINNICK DIALYSIS LLC NPI is 1467941534. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose City Dialysis.

The provider's business location address is:

1382 LOCUST ST
PASADENA, CA
ZIP 91106-515
Phone: (626) 395-7769
Fax: (626) 395-7723

The provider's authorized official is John D. Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D2163118 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 11/30/2020.

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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »