Organization
PATUK DIALYSIS LLC
Active
Organization
PATUK DIALYSIS LLC
Active
Other names
Victorywood Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
11702 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3420
(818) 761-1304
(818) 761-1624
Mailing address
5200 VIRGINIA WAY, L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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