EAST LA DIALYSIS CENTER NPI 1528105293

NPI Information

EAST LA DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. EAST LA DIALYSIS CENTER NPI is 1528105293. The provider is registered as an organization entity type.

The provider's business location address is:

5830 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90022-302
Phone: (323) 887-8545

The provider's authorized official is Maher A. Azer .
The authorized official title is Medical Director and has the following contact phone number (562) 426-8881.

The CLIA number assigned to this NPI record is 05D1031396 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2007 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:

Other Identifiers

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