Mar Vista Dialysis Center

LBN: Renal Treatment Centers California Inc
Mar Vista Dialysis Center is an health care organization with primary practice located at 2020 Santa Monica Blvd Ste 100 , Santa Monica CA 90404-2139. 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. Renal Treatment Centers California Inc can be contacted via phone (310) 453-4900, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
2020 Santa Monica Blvd Ste 100 Santa Monica CA 90404-2139
Phone: (310) 453-4900
Fax: (310) 453-4966
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 550000489 California

Profile Details

NPI number 1750486148
LBN Legal business name Renal Treatment Centers California Inc
DBA Doing business as Mar Vista Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Dec 8th, 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 1750486148 NPPES
California MEDICAID 1750486148

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