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Davita Riverside Ii Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Norco, California
NPI 1033159264

Davita Riverside Ii Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Davita Riverside Ii Llc practices in Norco, CA. The NPI Number for Davita Riverside Ii Llc is 1033159264 and holds a License No. 550000399 (California).

The current practice location address for Davita Riverside Ii Llc is 1901 Town And Country Dr Ste 100, Norco, CA and can be reached out via phone at 951-738-0185 and via fax at 951-738-8490.

Location: 1901 Town And Country Dr Ste 100, Norco, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033159264
Provider Name
Davita Riverside Ii Llc
Credential
Provider Entity Type
Organization
Address
1901 Town And Country Dr Ste 100, Norco, CA, 37027-7569
Phone Number
951-738-0185
Fax Number
951-738-8490
Provider Enumeration Date
06/07/2006
Last Update Date
08/17/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
030400051968200000 01 TRICARE
1033159264 05 CA
institution
Provider Business Practice Location Address Details
Address
1901 Town And Country Dr Ste 100
City
Norco
State
California
Zip
92860-3611
Phone Number
951-738-0185
Fax Number
951-738-8490
person
Provider Business Mailing Address Details
Address
1901 Town And Country Dr Ste 100
City
Norco
State
California
Zip
92860-3611
Phone Number
951-738-0185
Fax Number
951-738-8490
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
550000399 (California)
Definition
Definition to come...
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