South Gate Dialysis

LBN: Olive Dialysis Llc
South Gate Dialysis is an health care organization with primary practice located at 9848 Atlantic Ave , South Gate CA 90280-5219. 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. Olive Dialysis Llc can be contacted via phone (323) 569-1035, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
9848 Atlantic Ave South Gate CA 90280-5219
Phone: (323) 569-1035
Fax: (323) 569-1790
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1184004137
LBN Legal business name Olive Dialysis Llc
DBA Doing business as South Gate Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2015
Last updated Dec 1st, 2021 - about 3 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 1184004137 NPPES
California MEDICAID 1184004137

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