Organization
INNOVATIVE DIALYSIS CENTER OF WEST LOS ANGELES, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care West Los Angeles Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
1801 S LA CIENEGA BLVD, SUITE 100, LOS ANGELES, CA 90035-4641
(310) 840-5688
(310) 840-5690
Mailing address
1 WORLD TRADE CTR, STE 2500, LONG BEACH, CA 90831-0002
(562) 495-8075
(562) 495-8076
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
10/28/2013
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