NPI 1154197911

Shidban Dialysis Access INC

Organisation Transplant Surgery Physician Los Angeles, CA

Practice location

Address: 1414 S Grand Ave STE 100, Los Angeles, CA 90015-3071
Phone: (213) 797-6044
Fax: (213) 481-7023
Mailing address: 1100 Wilshire Blvd APT 3101, Los Angeles, CA 90017-1953

Authorised official

Name: Hamid Shidban
Title: Owner
Phone: (213) 797-6044

Registered specialties (2)

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X

Other Transplant Surgery providers in California →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in California →

Registry record

NPI: 1154197911
Entity type: Organization
NPI issued: 1 Dec 2023
Record last updated: 1 Dec 2023

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.