NPI 1003024647

Long Beach Dialysis Center LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Long Beach, CA

Practice location

Address: 3744 Long Beach Blvd, Long Beach, CA 90807-3310
Phone: (562) 424-1403
Fax: (562) 424-4310
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp, Licensure & Certification
Phone: (615) 341-6641

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 550000754 (CA)

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Registry record

NPI: 1003024647
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 21 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.