institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Diego, California
NPI 1093780017

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in San Diego, CA. The NPI Number for Dva Renal Healthcare Inc is 1093780017 and holds a License No. 080000705 (California).

The current practice location address for Dva Renal Healthcare Inc is 995 Gateway Center Way, San Diego, CA and can be reached out via phone at 619-262-1960 and via fax at 619-262-2420.

Location: 995 Gateway Center Way, San Diego, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1093780017
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
995 Gateway Center Way, San Diego, CA, 37027-7569
Phone Number
619-262-1960
Fax Number
619-262-2420
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1791954 05 LA
1093780017 05 CA
institution
Provider Business Practice Location Address Details
Address
995 Gateway Center Way
City
State
Zip
92102-4550
Phone Number
619-262-1960
Fax Number
619-262-2420
person
Provider Business Mailing Address Details
Address
995 Gateway Center Way
City
State
Zip
92102-4550
Phone Number
619-262-1960
Fax Number
619-262-2420
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
080000705 (California)
Definition
Definition to come...
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