Kidney Center Of Simi Valley

LBN: Kidney Center Of Simi Valley
Kidney Center Of Simi Valley is an health care organization with primary practice located at 2950 Sycamore Dr Suite # 100, Simi Valley CA 93065-1210. 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. Kidney Center Of Simi Valley can be contacted via phone (805) 584-2411, or through Upponi, Lisa Viral via phone (805) 433-7506.

Contact Information

Primary practice address
2950 Sycamore Dr Suite # 100 Simi Valley CA 93065-1210
Phone: (805) 584-2411
Fax: (805) 584-8604
Website:
Map and Directions
Authorized official contact:
Name: Upponi, Lisa Viral
Phone: (805) 433-7506

Health care specialties

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

Profile Details

NPI number 1861437444
LBN Legal business name Kidney Center Of Simi Valley
DBA Doing business as
Authorized official Upponi, Lisa Viral
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 7th, 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 1861437444 NPPES
California Other ZZZZ1423Z BLUE SHIELD
California MEDICAID CDC02638F BLUE SHIELD

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