Provider Demographics
NPI:1518573757
Name:BY ZIP RENAL CARE SERVICES
Entity Type:Organization
Organization Name:BY ZIP RENAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLSION
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-338-2335
Mailing Address - Street 1:215 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-5906
Mailing Address - Country:US
Mailing Address - Phone:323-338-2335
Mailing Address - Fax:
Practice Address - Street 1:215 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-5906
Practice Address - Country:US
Practice Address - Phone:323-338-2335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysisGroup - Multi-Specialty