Organization
HEMODIALYSIS, INC.
Active
Other names
GLEN TRANS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R DE PALMA M.D. (C.E.O./PRESIDENT)
(818) 500-8736
Entity
Organization
Contact information
Practice address
710 W WILSON AVE, GLENDALE, CA 91203-2409
(818) 500-8736
Mailing address
710 W WILSON AVE, GLENDALE, CA 91203-2409
(818) 500-8736
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00208F
—
CA
Enumeration date
07/20/2005
Last updated
08/22/2020
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