Kidney Dialysis Center Of Pismo Beach, Llc

LBN: Kidney Dialysis Center Of Pismo Beach, Llc
Kidney Dialysis Center Of Pismo Beach, Llc is an health care organization with primary practice located at 320 James Way Suite # 110, Pismo Beach CA 93449-2813. 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 Dialysis Center Of Pismo Beach, Llc can be contacted via phone (805) 556-0577, or through Upponi, Lisa Viral via phone (805) 433-7506.

Contact Information

Primary practice address
320 James Way Suite # 110 Pismo Beach CA 93449-2813
Phone: (805) 556-0577
Fax: (805) 433-7655
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

Profile Details

NPI number 1518902758
LBN Legal business name Kidney Dialysis Center Of Pismo Beach, Llc
DBA Doing business as
Authorized official Upponi, Lisa Viral
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 30th, 2007 - about 18 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 1518902758 NPPES
California MEDICAID CDC52556

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