El Dorado Dialysis

LBN: Mazonia Dialysis Llc
El Dorado Dialysis is an health care organization with primary practice located at 2977 Redondo Ave , Long Beach CA 90806-2445. 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. Mazonia Dialysis Llc can be contacted via phone (562) 988-3418, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
2977 Redondo Ave Long Beach CA 90806-2445
Phone: (562) 988-3418
Fax: (562) 595-5819
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 550003170 California

Profile Details

NPI number 1972907566
LBN Legal business name Mazonia Dialysis Llc
DBA Doing business as El Dorado Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2014
Last updated Feb 12th, 2024 - about last year

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 1972907566 NPPES
California MEDICAID 1972907566

Popular Providers