Organization
BALDWIN HILLS DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S. HOROWITZ M.D. (MEDICAL DIRECTOR)
(323) 293-4488
Entity
Organization
Contact information
Practice address
3705 S. LABREA AVE., LOS ANGELES, CA 90016
(323) 293-4488
(323) 293-4499
Mailing address
3705 S LA BREA AVE, LOS ANGELES, CA 90016-5309
(323) 293-4488
(323) 293-4499
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02806F
—
CA
01
—
ZZZ57405Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/19/2006
Last updated
04/07/2011
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