Organization
LIFELINE DIALYSIS SOUTH GATE LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up