Provider Demographics
NPI:1811452022
Name:AMERICAN RENAL CARE, LLC
Entity type:Organization
Organization Name:AMERICAN RENAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-365-1194
Mailing Address - Street 1:23421 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3028
Mailing Address - Country:US
Mailing Address - Phone:818-903-3186
Mailing Address - Fax:
Practice Address - Street 1:23421 LYONS AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-3028
Practice Address - Country:US
Practice Address - Phone:818-903-3186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentGroup - Single Specialty