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Organization

LIFELINE DIALYSIS SOUTH GATE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEPPINA JOY YEGOYAN (CEO)
(818) 521-4539
Entity
Organization

Contact information

Practice address
8716 GARFIELD AVE UNIT 100, SOUTH GATE, CA 90280-3723
(818) 521-4539
Mailing address
17181 GRESHAM ST, SHERWOOD FOREST, CA 91325-3205
(818) 521-4539

Taxonomy

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

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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