Organization
NORTHRIDGE KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG SHAH MD (MEDICAL DIRECTOR)
(818) 365-1194
Entity
Organization
Contact information
Practice address
17710 ROSCOE BLVD, NORTHRIDGE, CA 91325-3910
(818) 739-4888
(747) 265-6106
Mailing address
23421 LYONS AVE, SANTA CLARITA, CA 91355-3028
(818) 903-3186
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
06/07/2022
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