PANTHER DIALYSIS LLC NPI 1942620976

NPI Information

NPI: 1942620976
Provider Name: PANTHER DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
29878 HAUN RD
STE 100
MENIFEE, CA
ZIP 92586
Phone: (951) 679-2396
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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 John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 12/7/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	1942620976	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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