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Organization

LAUREL CANYON DIALYSIS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PARAG SHAH MD (OWNER)
(818) 365-1194
Entity
Organization

Contact information

Practice address
8987 LAUREL CANYON BLVD, SUN VALLEY, CA 91352-1732
(818) 771-9950
(818) 771-9951
Mailing address
8987 LAUREL CANYON BLVD, SUN VALLEY, CA 91352-1732
(818) 771-9950
(818) 771-9951

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
552777
CA

Other

Enumeration date
06/29/2014
Last updated
09/04/2015
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