Glendale Kidney Center

LBN: Glendale Nephrology Services, Llc
Glendale Kidney Center is an health care organization with primary practice located at 1427 S Glendale Ave , Glendale CA 91205-3313. 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. Glendale Nephrology Services, Llc can be contacted via phone (818) 662-0222, or through Minasian, Raffi via phone (818) 662-0222.

Contact Information

Primary practice address
1427 S Glendale Ave Glendale CA 91205-3313
Phone: (818) 662-0222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Minasian, Raffi Doctor of Medicine (MD)
Phone: (818) 662-0222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000942 California

Profile Details

NPI number 1437241403
LBN Legal business name Glendale Nephrology Services, Llc
DBA Doing business as Glendale Kidney Center
Authorized official Minasian, Raffi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 11th, 2012 - about 13 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 1437241403 NPPES
California MEDICAID CDC02859F

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