Innovative Dialysis Center Of West Los Angeles, Llc

NPI 1154668986 - Clinic/Center - 261QE0700X

NPI Details
NPI 1154668986
Enumeration Date 01/14/2013
Last Updated 10/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name THOMAS L. THOMAS
Position AUTHORIZED OFFICIAL
Phone (310) 840-5688
Fax (310) 840-5690
Practice Location
1801 S LA CIENEGA BLVD
SUITE 100
LOS ANGELES CA, 90035-4641, US
Phone (310) 840-5688
Fax (310) 840-5690
Business Location
1 WORLD TRADE CTR
STE 2500
LONG BEACH CA, 90831-0002, US
Phone (562) 495-8075
Fax (562) 495-8076
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1154668986 NPI Number
 

According to our database, Innovative Dialysis Center Of West Los Angeles, Llc NPI is 1154668986, taxonomy code is 261QE0700X Innovative Dialysis Center Of West Los Angeles, Llc physically located at 1801 S La Cienega Blvd, Los Angeles CA, 90035-4641. NPI Number 1033115704 has the healthcare provider type.

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1154668986 NPI number is provided on an as is basis without warranty of any kind. 1154668986 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Dialysis Center Of West Los Angeles, Llc are for informational purposes only.