Davita Huntington Dialysis

LBN: Shetek Dialysis Llc
Davita Huntington Dialysis is an health care organization with primary practice located at 390 S Fair Oaks Ave Ste 120, Pasadena CA 91105-2540. 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. Shetek Dialysis Llc can be contacted via phone (626) 564-2818, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
390 S Fair Oaks Ave Ste 120 Pasadena CA 91105-2540
Phone: (626) 564-2818
Fax: (626) 564-2889
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

Profile Details

NPI number 1457742678
LBN Legal business name Shetek Dialysis Llc
DBA Doing business as Davita Huntington Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2015
Last updated Mar 20th, 2024 - about 6 months 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 1457742678 NPPES
California MEDICAID 1457742678

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