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Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Los Banos, California
NPI 1134193006

Dva Healthcare Renal Care 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 Healthcare Renal Care Inc practices in Los Banos, CA. The NPI Number for Dva Healthcare Renal Care Inc is 1134193006 and holds a License No. 240000794 (California).

The current practice location address for Dva Healthcare Renal Care Inc is 60 W G St Bldg 5, Los Banos, CA and can be reached out via phone at 209-826-2787 and via fax at 209-826-6325.

Location: 60 W G St Bldg 5, Los Banos, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134193006
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
60 W G St Bldg 5, Los Banos, CA, 37027-7569
Phone Number
209-826-2787
Fax Number
209-826-6325
Provider Enumeration Date
02/15/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134193006 05 CA
institution
Provider Business Practice Location Address Details
Address
60 W G St Bldg 5
City
Los Banos
State
California
Zip
93635-3658
Phone Number
209-826-2787
Fax Number
209-826-6325
person
Provider Business Mailing Address Details
Address
60 W G St Bldg 5
City
Los Banos
State
California
Zip
93635-3658
Phone Number
209-826-2787
Fax Number
209-826-6325
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.
240000794 (California)
Definition
Definition to come...
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