PANTHER DIALYSIS LLC NPI 1942620976

NPI Information

  • NPI: 1942620976
  • Provider Name: PANTHER DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 29878 HAUN RD
    STE 100
    MENIFEE, CA
    ZIP 92586
  • Phone: (951) 679-2396

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NPI Details

PANTHER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Menifee, CA. PANTHER DIALYSIS LLC NPI is 1942620976. The provider is registered as an organization entity type.

The provider's business location address is:

29878 HAUN RD
STE 100
MENIFEE, CA
ZIP 92586-531
Phone: (951) 679-2396
Fax: (951) 301-9725

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 4/17/2014 and was last updated on 8/26/2024.

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
11942620976MEDICAIDCALIFORNIA

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: 3/30/2025

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