Serrano Dialysis

LBN: Holten Dialysis Llc
Serrano Dialysis is an health care organization with primary practice located at 1800 Medical Center Dr Ste 150, San Bernardino CA 92411-1218. 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. Holten Dialysis Llc can be contacted via phone (909) 887-2717, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
1800 Medical Center Dr Ste 150 San Bernardino CA 92411-1218
Phone: (909) 887-2717
Fax: (909) 887-3794
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

Profile Details

NPI number 1831560077
LBN Legal business name Holten Dialysis Llc
DBA Doing business as Serrano Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2015
Last updated Feb 28th, 2024 - about 7 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831560077 NPPES
California MEDICAID 1831560077

Popular Providers