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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