Organization
KIDNEY DIALYSIS CENTER OF NORTHRIDGE,LLC
Active
Organization
KIDNEY DIALYSIS CENTER OF NORTHRIDGE,LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (SENIOR VICE PRESIDENT/GENERAL COUNS)
(214) 736-2730
Entity
Organization
Contact information
Practice address
18546 ROSCOE BLVD, SUITE # 108, NORTHRIDGE, CA 91324-4663
(818) 886-3771
(818) 886-5734
Mailing address
2400 DALLAS PKWY, SUITE 350, PLANO, TX 75093-4370
(214) 736-2700
(214) 736-2701
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC70023H
—
CA
01
—
ZZZR0129Z
BLUE SHIELD
CA
Enumeration date
06/18/2006
Last updated
11/25/2013
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