San Gabriel Regional Dialysis Training Center, Llc
LBN: San Gabriel Regional Dialysis Training Center, Llc
San Gabriel Regional Dialysis Training Center, Llc is an health care organization with primary practice located at 809 S Atlantic Blvd 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.
San Gabriel Regional Dialysis Training Center, Llc can be contacted via phone (626) 576-8556, or through Green, Jerry via phone (562) 495-8075.
Contact Information
Primary practice address
809 S Atlantic Blvd 103
Monterey Park CA 91754-4756
Phone: (626) 576-8556
Fax: (626) 576-8557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1700858099 |
|---|---|
| LBN Legal business name | San Gabriel Regional Dialysis Training Center, Llc |
| DBA Doing business as | |
| Authorized official | Green, Jerry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 29th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700858099 | NPPES |
| California | MEDICAID | CDC02684G |
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