Organization
QUOTIDIAN HOME DIALYSIS ORANGE COUNTY LLC
Active
Other names
Home Dialysis Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MEHRABIAN MSC (DIRECTOR OF OPERATION)
(818) 939-2047
Entity
Organization
Contact information
Practice address
511 S HARBOR BLVD, SUITE T, LA HABRA, CA 90631-9374
(562) 694-8520
(562) 694-8540
Mailing address
511 S HARBOR BLVD, SUITE T, LA HABRA, CA 90631-9374
(562) 694-8520
(562) 694-4911
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
—
CDC52590F
—
CA
Enumeration date
03/20/2007
Last updated
03/26/2014
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