Organization
HEMODIALYSIS, INC.
Active
Organization
HEMODIALYSIS, INC.
Active
Other names
GLENDALE HEMODIALYSIS FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R DE PALMA M.D. (C.E.O./PRESIDENT)
(818) 500-8736
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, #160, GLENDALE, CA 91206-4197
(818) 240-9970
Mailing address
710 W WILSON AVE, GLENDALE, CA 91203-2409
(818) 500-8736
(818) 500-7214
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA7001F
—
CA
Enumeration date
07/21/2005
Last updated
08/22/2020
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