| Lacna Dialysis Access Center, Llc | |
|
3112 W. Beverly Blvd. Montebello CA 90640-2217 | |
| (323) 726-3868 | |
| Not Available |
| Full Name | Lacna Dialysis Access Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3112 W. Beverly Blvd., Montebello, California |
| Authorized Official Name and Position | Carlos R. Gonzalez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3237263868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacna Dialysis Access Center, Llc 3112 W. Beverly Blvd. Montebello CA 90640-2217 Ph: (323) 726-3868 | Lacna Dialysis Access Center, Llc 3112 W. Beverly Blvd. Montebello CA 90640-2217 Ph: (323) 726-3868 |
| NPI Number | 1194895565 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194895565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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