Organization
ANIMAS DIALYSIS LLC
Active
Other names
Doctors Dialysis Center of Montebello
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1721 W WHITTIER BLVD, MONTEBELLO, CA 90640-4004
(323) 722-1116
(323) 722-5501
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156601789
—
CA
Enumeration date
02/11/2009
Last updated
12/20/2023
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