Organization
GLASSLAND DIALYSIS LLC
Active
Other names
Los Angeles Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3901 S WESTERN AVE, LOS ANGELES, CA 90062-1112
(323) 294-0670
(323) 294-0499
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841547460
—
CA
Enumeration date
08/14/2012
Last updated
07/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us