Diablo Dialysis Access Center, Inc.

LBN: Diablo Dialysis Access Center A Ca Professional Medical Corp
Diablo Dialysis Access Center, Inc. is an health care organization with primary practice located at 2222 East St Ste 305, Concord CA 94520-2084. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Diablo Dialysis Access Center A Ca Professional Medical Corp can be contacted via phone (925) 686-1230, or through Hutton, Fawn via phone (925) 686-0315.

Contact Information

Primary practice address
2222 East St Ste 305 Concord CA 94520-2084
Phone: (925) 686-1230
Fax: (925) 686-8443
Website:
Map and Directions
Authorized official contact:
Name: Hutton, Fawn
Phone: (925) 686-0315

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1144315276
LBN Legal business name Diablo Dialysis Access Center A Ca Professional Medical Corp
DBA Doing business as Diablo Dialysis Access Center, Inc.
Authorized official Hutton, Fawn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 27th, 2015 - about 10 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 1144315276 NPPES
California MEDICAID GR0105450

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