Doctors Dialysis Center Of Montebello

LBN: Total Renal Care Inc
Doctors Dialysis Center Of Montebello is an health care organization with primary practice located at 1721 W Whittier Blvd , Montebello CA 90640-4004. 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. Total Renal Care Inc can be contacted via phone (323) 722-1116, or through Usilton, Thomas O via phone (615) 320-4435.

Contact Information

Primary practice address
1721 W Whittier Blvd Montebello CA 90640-4004
Fax: (323) 722-5501
Website:
Authorized official contact:
Name: Usilton, Thomas O

Health care specialties

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

Profile Details

NPI number 1760443048
LBN Legal business name Total Renal Care Inc
DBA Doing business as Doctors Dialysis Center Of Montebello
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 4th, 2007 - about 18 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 1760443048 NPPES
California MEDICAID CDC02785G

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