Organization
KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC
Active
Organization
KIDNEY DIALYSIS CENTER OF BALDWIN HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHA PATEL (AR DIRECTOR)
(805) 433-7555
Entity
Organization
Contact information
Practice address
3705 S LA BREA AVE, LOS ANGELES, CA 90016-5309
(323) 293-4488
(323) 293-4499
Mailing address
PO BOX 940838, SIMI VALLEY, CA 93094-0838
(805) 433-7777
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02806F
—
CA
Enumeration date
06/14/2011
Last updated
08/05/2011
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