Hacienda Dialysis Center, A Medical Corp.

LBN: Hacienda Dialysis Center, A Medical Corp.
Hacienda Dialysis Center, A Medical Corp. is an health care organization with primary practice located at 2020 S Hacienda Blvd , Hacienda Heights CA 91745-4265. 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. Hacienda Dialysis Center, A Medical Corp. can be contacted via phone (626) 968-9558, or through Shih, Mary via phone (626) 968-9558.

Contact Information

Primary practice address
2020 S Hacienda Blvd Hacienda Heights CA 91745-4265
Phone: (626) 968-9558
Fax: (626) 968-7787
Website:
Map and Directions
Authorized official contact:
Name: Shih, Mary
Phone: (626) 968-9558

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000972 California

Profile Details

NPI number 1457342677
LBN Legal business name Hacienda Dialysis Center, A Medical Corp.
DBA Doing business as
Authorized official Shih, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 19th, 2008 - about 16 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 1457342677 NPPES
California MEDICAID CDC02879F

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