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ARCADIA GARDENS DIALYSIS LLC NPI 1760624092


NPI Information

NPI: 1760624092
Provider Name: ARCADIA GARDENS DIALYSIS LLC

Doing Business As: PASADENA FOOTHILLS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D1104927

Address:
3722 E COLORADO BLVD
PASADENA, CA
ZIP 91107
Phone: (626) 432-4331
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ARCADIA GARDENS DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pasadena, CA. ARCADIA GARDENS DIALYSIS LLC NPI is 1760624092. The provider is registered as an organization entity type.
The provider Is Doing Business As Pasadena Foothills Dialysis.

The provider's business location address is:

3722 E COLORADO BLVD
PASADENA, CA
ZIP 91107-872
Phone: (626) 432-4331
Fax: (626) 432-4336

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D1104927 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 8/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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