Innovative Dialysis Center of Northridge, LLC
NPI #1477890291 in Northridge, California
Provider Information
- NPI Number
- 1477890291
- Entity Type
- Organization
- Organization Name
- Innovative Dialysis Center of Northridge, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- U.S. RENAL CARE, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 14, 2013
- Last Updated
- Aug 3, 2020
Practice Location
- Address
- 18546 ROSCOE BLVD
- Address 2
- SUITE 108
- City
- Northridge
- State
- California
- ZIP Code
- 91324-4663
- Phone
- (818) 886-3771
Authorized Official
- Name
- THOMAS L. WEINBERG
- Title
- AUTHORIZED OFFICIAL
- Phone
- (214) 736-2732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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