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BARNNY JEPP LLC NPI 1588031322


NPI Information

NPI: 1588031322
Provider Name: BARNNY JEPP, LLC

Doing Business As: U.S. RENAL CARE GRAND HOME DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2104100

Address:
1145 W 6TH ST
LOS ANGELES, CA
ZIP 90017
Phone: (213) 250-9758
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BARNNY JEPP, LLC is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. BARNNY JEPP, LLC NPI is 1588031322. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Grand Home Dialysis.

The provider's business location address is:

1145 W 6TH ST
LOS ANGELES, CA
ZIP 90017-828
Phone: (213) 250-9758
Fax: (213) 250-9831

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Executive Vice President and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 05D2104100 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2015 and was last updated on 9/22/2022.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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