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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