INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC NPI 1558950022

NPI Information

NPI: 1558950022
Provider Name: INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC
Classification: Technician, Other - 2472R0900X
Entity Type: Organization

Specialization: Renal Dialysis

Address:
1507 ROSS ST
POMONA, CA
ZIP 91767
Phone: (310) 614-8740
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INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC is a renal dialysis technician other in Pomona, CA. INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC NPI is 1558950022. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1507 ROSS ST
POMONA, CA
ZIP 91767-246
Phone: (310) 614-8740

The provider's authorized official is Sam O Obembe .
The authorized official title is Cfo and has the following contact phone number (310) 614-8740.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

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	2472R0900X	Technician, Other	Renal Dialysis			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: 5/5/2024

NPI Synchronization or Removal

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