INNOVATIVE DIALYSIS CENTER OF WEST LOS ANGELES LLC NPI 1588324966

NPI Information

INNOVATIVE DIALYSIS CENTER OF WEST LOS ANGELES, LLC is an end-stage renal disease (esrd) treatment clinic center in Los Angeles, CA. INNOVATIVE DIALYSIS CENTER OF WEST LOS ANGELES, LLC NPI is 1588324966. The provider is registered as an organization entity type.

The provider's business location address is:

1801 S LA CIENEGA BLVD STE 202
LOS ANGELES, CA
ZIP 90035-659
Phone: (213) 755-2048

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

The CLIA number assigned to this NPI record is 05D2260038 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.

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:

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