Canyon Country Dialysis Center, Llc

LBN: Canyon Country Dialysis Center, Llc
Canyon Country Dialysis Center, Llc is an health care organization with primary practice located at 18520 Via Princessa Bldg C-1, Suite A, Canyon Country CA 91387-8326. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Canyon Country Dialysis Center, Llc can be contacted via phone (661) 298-5300, or through Green, Jerry via phone (562) 421-2690.

Contact Information

Primary practice address
18520 Via Princessa Bldg C-1, Suite A Canyon Country CA 91387-8326
Phone: (661) 298-5300
Fax: (661) 424-9733
Website:
Map and Directions
Authorized official contact:
Name: Green, Jerry
Phone: (562) 421-2690

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 550000035 California

Profile Details

NPI number 1932170008
LBN Legal business name Canyon Country Dialysis Center, Llc
DBA Doing business as
Authorized official Green, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932170008 NPPES
California MEDICAID CDC52547F

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