Peritoneal Dialysis Center Of America - San Gabriel, Pc
LBN: Peritoneal Dialysis Center Of America - San Gabriel, Pc
Peritoneal Dialysis Center Of America - San Gabriel, Pc is an health care organization with primary practice located at 809 S Atlantic Blvd Suite 103, Monterey Park CA 91754-4756. 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.
Peritoneal Dialysis Center Of America - San Gabriel, Pc can be contacted via phone (626) 576-8556, or through Chowdhury, Pradip C.P. via phone (323) 371-4182.
Contact Information
Primary practice address
809 S Atlantic Blvd Suite 103
Monterey Park CA 91754-4756
Phone: (626) 576-8556
Fax: (626) 576-8557
Website:
Authorized official contact:
Name: Chowdhury, Pradip C.P. Doctor of Medicine (MD)
Phone: (323) 371-4182
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1093062796 |
|---|---|
| LBN Legal business name | Peritoneal Dialysis Center Of America - San Gabriel, Pc |
| DBA Doing business as | |
| Authorized official | Chowdhury, Pradip C.P. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2012 |
| Last updated | Aug 21st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093062796 | NPPES |
| California | MEDICAID | 1093062796 |
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