Organization
INNOVATIVE DIALYSIS CENTER OF NORTHRIDGE, LLC
Active
Organization
INNOVATIVE DIALYSIS CENTER OF NORTHRIDGE, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Northridge Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2732
Entity
Organization
Contact information
Practice address
18546 ROSCOE BLVD, SUITE 108, NORTHRIDGE, CA 91324-4663
(818) 886-3771
(818) 886-5734
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
08/03/2020
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