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ALHAMBRA COMMUNITY DIALYSIS UNIT INC. NPI 1952484040


NPI Information

NPI: 1952484040
Provider Name: ALHAMBRA COMMUNITY DIALYSIS UNIT, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2300 W VALLEY BLVD
ALHAMBRA, CA
ZIP 91803
Phone: (626) 458-4726
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ALHAMBRA COMMUNITY DIALYSIS UNIT, INC. is an end-stage renal disease (esrd) treatment clinic center in Alhambra, CA. ALHAMBRA COMMUNITY DIALYSIS UNIT, INC. NPI is 1952484040. The provider is registered as an organization entity type.

The provider's business location address is:

2300 W VALLEY BLVD
ALHAMBRA, CA
ZIP 91803-930
Phone: (626) 458-4726
Fax: (686) 289-8742

The provider's authorized official is Marino B De Peralta .
The authorized official title is Vice President/cfo and has the following contact phone number (626) 571-4596.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/21/2012.


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) Treatment930000403CALIFORNIAYes

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
1ZZZ22373ZOTHERCALIFORNIABLUE SHIELD INSURANCE
2CDC02644FMEDICAIDCALIFORNIA
3052644MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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