Tustin Dialysis

LBN: Tustin Dialysis Center Llc
Tustin Dialysis is an health care organization with primary practice located at 2090 N Tustin Ave Ste 100, Santa Ana CA 92705-7869. 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. Tustin Dialysis Center Llc can be contacted via phone (714) 835-2450, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
2090 N Tustin Ave Ste 100 Santa Ana CA 92705-7869
Phone: (714) 835-2450
Fax: (714) 835-5715
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T. AO
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 080000766 California

Profile Details

NPI number 1174586226
LBN Legal business name Tustin Dialysis Center Llc
DBA Doing business as Tustin Dialysis
Authorized official Wey, Samuel T. AO
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Dec 15th, 2023 - about 2 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 1174586226 NPPES
California MEDICAID 1174586226

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