Intercommunity Dialysis Center-La Mirada
NPI #1114461043 in La Mirada, California
Provider Information
- NPI Number
- 1114461043
- Entity Type
- Organization
- Organization Name
- Intercommunity Dialysis Center-La Mirada
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 12, 2016
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 15060 IMPERIAL HWY
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-1301
- Phone
- (562) 696-1841
Authorized Official
- Name
- DELORES GAYLE ROGERS, LCSW
- Title
- SOCIAL WORKER
- Phone
- (562) 696-1841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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