Airport Dialysis

LBN: Dva Renal Healthcare Inc
Airport Dialysis is an health care organization with primary practice located at 4632 W Century Blvd , Inglewood CA 90304-1456. 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 Renal Healthcare Inc can be contacted via phone (310) 677-4262, or through Hilger, James K via phone (253) 280-9501.

Contact Information

Primary practice address
4632 W Century Blvd Inglewood CA 90304-1456
Phone: (310) 677-4262
Fax: (310) 677-1034
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 280-9501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000862 California

Profile Details

NPI number 1588638191
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Airport Dialysis
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 3rd, 2013 - about 11 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 1588638191 NPPES
California MEDICAID 1588638191

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