Organization
PERITONEAL DIALYSIS CENTER OF AMERICA, INC
Active
Organization
PERITONEAL DIALYSIS CENTER OF AMERICA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP CP CHOWDHURY MD (VICE PRESIDENT)
(323) 371-4182
Entity
Organization
Contact information
Practice address
3112 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 722-2053
(323) 722-2063
Mailing address
3112 W BEVERLY BLVD, MONTEBELLO, CA 90640-2217
(323) 722-2053
(323) 722-2063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79279
KAVITHA KANAKARAJ, MD
CA
Enumeration date
08/18/2006
Last updated
06/10/2025
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