Organization
NORTHRIDGE KIDNEY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD M ASSOMULL MD (CHAIRMAN)
(818) 366-4626
Entity
Organization
Contact information
Practice address
19333 BUSINESS CENTER DR, NORTHRIDGE, CA 91324-3528
(818) 709-9999
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
—
—
Other
Enumeration date
09/29/2017
Last updated
10/13/2017
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