| facid | county | permid | lictype | licdate | lstat | lstatdt | ostat | ostatdt | dbaname | dbaaddr | dbacity | dbazip | mlattn | mladdr | mlcity | mlstate | mlzip | hsa | hfpa | compstat | p000103 | p010301 | p020101 | p020102 | p021901 | p021902 | p022601 | p022701 | p022801 | p022901 | p023001 | p023101 | p030101 | p030102 | p030104 | p032101 | p032102 | p032201 | p032202 | p032301 | p032401 | p032501 | p032601 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 306196207 | 19 | 7685 | 7 | 20010402 | None | None | None | None | QUEEN'S DIALYSIS UNIT, INC. | 1135 S. SUNSET AVENUE, STE 103 | WEST COVINA | 91790 | None | None | None | None | None | 11 | 0915 | NO | 12 | 6263374245 | 20010402 | 20011231 | 53 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | None | 0 | 0 | None | 0 | None | 578698 | 0 | 709623 | -130925 |