La Palma Dialysis Center LLC

NPI #1235157116 in La Palma, California

Provider Information

NPI Number
1235157116
Entity Type
Organization
Organization Name
La Palma Dialysis Center LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 18, 2006
Last Updated
Nov 27, 2012

Practice Location

Address
5451 LA PALMA AVE
Address 2
SUITE 35
ZIP Code
90623-1728
Phone
(714) 523-5970

Authorized Official

Name
DR. GADSALLI RAMASWAMY RAVIKUMAR, M.D.
Title
PRESIDENT/CEO
Phone
(714) 226-0818

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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