FREEMAN DIALYSIS LLC NPI 1912355843

NPI Information

  • NPI: 1912355843
  • Provider Name: FREEMAN DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: LA HABRA DIALYSIS
  • Address: 1611 W WHITTIER BLVD
    LA HABRA, CA
    ZIP 90631
  • Phone: (562) 267-0430

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NPI Details

FREEMAN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in La Habra, CA. FREEMAN DIALYSIS LLC NPI is 1912355843. The provider is registered as an organization entity type.
The provider Is Doing Business As La Habra Dialysis.

The provider's business location address is:

1611 W WHITTIER BLVD
LA HABRA, CA
ZIP 90631-618
Phone: (562) 267-0430
Fax: (562) 266-0045

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 12/22/2023.

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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11912355843MEDICAIDCALIFORNIA

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: 11/21/2025

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