WHITTIER KIDNEY DIALYSIS CENTER NPI 1538210208

NPI Information

  • NPI: 1538210208
  • Provider Name: WHITTIER KIDNEY DIALYSIS CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D0993912
  • Address: 16417 WHITTIER BLVD
    WHITTIER, CA
    ZIP 90603
  • Phone: (562) 947-8999

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NPI Details

WHITTIER KIDNEY DIALYSIS CENTER is a specialist in Whittier, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WHITTIER KIDNEY DIALYSIS CENTER NPI is 1538210208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16417 WHITTIER BLVD
WHITTIER, CA
ZIP 90603-044
Phone: (562) 947-8999
Fax: (562) 947-8987

The provider's authorized official is Riad Darwish .
The authorized official title is Chief Executive Officer and has the following contact phone number (562) 947-8999.

The CLIA number assigned to this NPI record is 05D0993912 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/1/2008.

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
1174400000XSpecialist61482CALIFORNIAYes

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
1052884MEDICARE PINCALIFORNIA
2052884MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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