Moreno Valley Dialysis
LBN: Flagler Dialysis Llc
Moreno Valley Dialysis is an health care organization with primary practice located at 22620 Goldencrest Dr Ste 101, Moreno Valley CA 92553-9032. 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.
Flagler Dialysis Llc can be contacted via phone (951) 656-3804, or through Winstel, John D. via phone (253) 733-4501.
Contact Information
Primary practice address
22620 Goldencrest Dr Ste 101
Moreno Valley CA 92553-9032
Phone: (951) 656-3804
Fax: (951) 656-7508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 240000808 | California |
Profile Details
NPI number | 1346590106 |
---|---|
LBN Legal business name | Flagler Dialysis Llc |
DBA Doing business as | Moreno Valley Dialysis |
Authorized official | Winstel, John D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 19th, 2012 |
Last updated | Feb 17th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346590106 | NPPES |
California | MEDICAID | 1346590106 |
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