Imperial Dialysis

LBN: Dva Healthcare Renal Care Inc
Imperial Dialysis is an health care organization with primary practice located at 2738 W Imperial Hwy , Inglewood CA 90303-3111. 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. Dva Healthcare Renal Care Inc can be contacted via phone (323) 779-5399, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
2738 W Imperial Hwy Inglewood CA 90303-3111
Phone: (323) 779-5399
Fax: (323) 779-5651
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T.
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000427 California

Profile Details

NPI number 1790759744
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Imperial Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 5th, 2024 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790759744 NPPES
California MEDICAID 1790759744

Popular Providers