Organization
LOS ANGELES DIALYSIS CENTER
Active
Organization
LOS ANGELES DIALYSIS CENTER
Active
Other names
Los Angeles Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
3901 S WESTERN AVE, LOS ANGELES, CA 90062-1112
(323) 294-1310
(323) 294-4034
Mailing address
5200 VIRGINIA WAY, SUTIE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02695F
—
CA
Enumeration date
03/21/2006
Last updated
05/03/2011
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