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ONTARIO DIALYSIS CENTERINC NPI 1770520488


NPI Information

NPI: 1770520488
Provider Name: ONTARIO DIALYSIS CENTER,INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1001 W 6TH ST
ONTARIO, CA
ZIP 91762
Phone: (909) 984-0320
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ONTARIO DIALYSIS CENTER,INC is an end-stage renal disease (esrd) treatment clinic center in Ontario, CA. ONTARIO DIALYSIS CENTER,INC NPI is 1770520488. The provider is registered as an organization entity type.

The provider's business location address is:

1001 W 6TH ST
ONTARIO, CA
ZIP 91762-209
Phone: (909) 984-0320
Fax: (909) 984-2213

The provider's authorized official is Abid Hameed Khan .
The authorized official title is Medical Director and has the following contact phone number (909) 984-0320.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/18/2016.


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) TreatmentCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G42562MEDICARE UPINCALIFORNIA
200A538060MEDICARE PINCALIFORNIA
3552596MEDICARE 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: 11/14/2023

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