Organization
LIFELINE DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEPPINA JOY YEGOYAN (CEO/FACILITY ADMINISTRATOR)
(818) 521-4539
Entity
Organization
Contact information
Practice address
16907 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 366-4600
Mailing address
16907 DEVONSHIRE ST, GRANADA HILLS, CA 91344-7407
(818) 366-4600
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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