Lacna Dialysis Access Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LACNA DIALYSIS ACCESS CENTER, LLC

Practice address

3112 W. Beverly Blvd.
Montebello, CA 90640-2217

Phone

(323) 726-3868

NPI assigned

Nov 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carlos R. Gonzalez, M.D.

Title

Medical Director

Phone

(323) 726-3868

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194895565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 W. BEVERLY BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402217",
            "telephone_number": "323-726-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 W. BEVERLY BLVD.",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402217",
            "telephone_number": "323-726-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACNA DIALYSIS ACCESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-726-3868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Amy Kwok, D.O.
• Liam Soe Kyan, M.D.
• Kay Khine Kyaw, M.D.
• L a County Nephrology Associates a Medical Corporation
• L a Urgent Care Medical Center
• Bonnie J. Lance, DPM
• Dennis Thomas Lange, M.D,
• Latino Kids Health
• Latino Kids Health
• Latino Kids Health

• Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.