Organization Name: | HEMODIALYSIS, INC. |
NPI Number: | 1003815986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R DE PALMA (C.E.O./PRESIDENT) |
Mailing Address: | 1560 E Chevy Chase Dr #160 Glendale |
State: | CA US |
Postal Code: | 912064197 |
Phone Number: | 8182409970 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |