Table # Values
licensed_healthcare_facility_listing 3 period: 2020-12-31
oshpd_id: 306190523
facility_name: VICTORYWOOD DIALYSIS
license_num: 550005372
facility_level_desc: Parent Facility
dba_address1: 11702 Victory Blvd
dba_city: North Hollywood
dba_zip_code: 91606
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-03-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 34.18650000
longitude: -118.38806000

period: 2021-12-31
oshpd_id: 306190523
facility_name: VICTORYWOOD DIALYSIS
license_num: 550005372
facility_level_desc: Parent Facility
dba_address1: 11702 Victory Blvd
dba_city: North Hollywood
dba_zip_code: 91606
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-03-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 34.18650000
longitude: -118.38806000

period: 2021-06-30
oshpd_id: 306190523
facility_name: VICTORYWOOD DIALYSIS
license_num: 550005372
facility_level_desc: Parent Facility
dba_address1: 11702 Victory Blvd
dba_city: North Hollywood
dba_zip_code: 91606
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-03-15
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 34.18650000
longitude: -118.38806000