Provider Demographics
NPI:1558923490
Name:QUALITY DIALYSIS CENTER FOOTHILL,LLC
Entity Type:Organization
Organization Name:QUALITY DIALYSIS CENTER FOOTHILL,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-833-7653
Mailing Address - Street 1:PO BOX 6367
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-6367
Mailing Address - Country:US
Mailing Address - Phone:626-281-1903
Mailing Address - Fax:626-281-0629
Practice Address - Street 1:133 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2506
Practice Address - Country:US
Practice Address - Phone:626-281-1903
Practice Address - Fax:626-282-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment