Huntington Beach Dialysis

LBN: Dva Renal Healthcare Inc
Huntington Beach Dialysis is an health care organization with primary practice located at 16892 Bolsa Chica St Ste 100, Huntington Beach CA 92649-3571. 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 (714) 846-2102, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
16892 Bolsa Chica St Ste 100 Huntington Beach CA 92649-3571
Phone: (714) 846-2102
Fax: (714) 846-8053
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 080000686 California

Profile Details

NPI number 1972577914
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Huntington Beach Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 17th, 2023 - about last year

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 1972577914 NPPES
California MEDICAID 1972577914

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