Organization
SHANTI PRAKASH INC
Active
Organization
SHANTI PRAKASH INC
Active
Other names
ADVANCED DIALYSIS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIREN SHAH M.D. (PRESIDENT)
(626) 856-3333
Entity
Organization
Contact information
Practice address
3932 DOWNING AVE, BALDWIN PARK, CA 91706
(626) 856-3333
(626) 856-3355
Mailing address
3932 DOWNING AVE, BALDWIN PARK, CA 91706
(626) 856-3333
(626) 856-3355
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
—
CDC52501F
—
CA
Enumeration date
12/11/2006
Last updated
08/22/2020
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