Organization
NORTHRIDGE DIALYSIS CENTER, LLC
Active
Organization
NORTHRIDGE DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD M ASSOMULL M.D. (OWNER)
(818) 321-5800
Entity
Organization
Contact information
Practice address
9325 RESEDA BLVD, NORTHRIDGE, CA 91324-2983
(818) 993-6700
(818) 993-6711
Mailing address
4000 COVER ST, STE 100, LONG BEACH, CA 90808-1790
(562) 421-2690
(562) 421-2060
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801128301
—
CA
Enumeration date
02/08/2010
Last updated
11/29/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up