Organization
ST. VINCENT DIALYSIS CENTER, INC.
Active
Organization
ST. VINCENT DIALYSIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE M KIRCHNER RN, MHA (DIRECTOR DIALYSIS SERVICES)
(213) 484-7289
Entity
Organization
Contact information
Practice address
201 S ALVARADO ST, STE 220, LOS ANGELES, CA 90057-2388
(213) 484-7289
(213) 207-5640
Mailing address
201 S ALVARADO ST, STE 220, LOS ANGELES, CA 90057-2388
(213) 484-7289
(213) 207-5640
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC70030F
—
CA
Enumeration date
06/14/2005
Last updated
02/16/2017
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