institution
Davita Riverside Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hemet, California
NPI 1174791883

Davita Riverside 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 Llc practices in Hemet, CA. The NPI Number for Davita Riverside Llc is 1174791883 and holds a License No. 240000801 (California).

The current practice location address for Davita Riverside Llc is 3050 W Florida Ave, Hemet, CA and can be reached out via phone at 951-925-9723 and via fax at 951-925-9789.

Location: 3050 W Florida Ave, Hemet, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1174791883
Provider Name
Davita Riverside Llc
Credential
Provider Entity Type
Organization
Address
3050 W Florida Ave, Hemet, CA, 37027-7569
Phone Number
951-925-9723
Fax Number
951-925-9789
Provider Enumeration Date
02/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174791883 05 CA
institution
Provider Business Practice Location Address Details
Address
3050 W Florida Ave
City
State
Zip
92545-3619
Phone Number
951-925-9723
Fax Number
951-925-9789
person
Provider Business Mailing Address Details
Address
3050 W Florida Ave
City
State
Zip
92545-3619
Phone Number
951-925-9723
Fax Number
951-925-9789
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
240000801 (California)
Definition
Definition to come...
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