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Davita Riverside Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Elsinore, California
NPI 1205895869

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 Lake Elsinore, CA. The NPI Number for Davita Riverside Llc is 1205895869 and holds a License No. 240000841 (California).

The current practice location address for Davita Riverside Llc is 32291 Mission Trl, Lake Elsinore, CA and can be reached out via phone at 951-674-5050 and via fax at 951-674-5570.

Location: 32291 Mission Trl, Lake Elsinore, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205895869
Provider Name
Davita Riverside Llc
Credential
Provider Entity Type
Organization
Address
32291 Mission Trl, Lake Elsinore, CA, 37027-7569
Phone Number
951-674-5050
Fax Number
951-674-5570
Provider Enumeration Date
03/22/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205895869 05 CA
institution
Provider Business Practice Location Address Details
Address
32291 Mission Trl
City
Lake Elsinore
State
California
Zip
92530-2310
Phone Number
951-674-5050
Fax Number
951-674-5570
person
Provider Business Mailing Address Details
Address
32291 Mission Trl
City
Lake Elsinore
State
California
Zip
92530-2310
Phone Number
951-674-5050
Fax Number
951-674-5570
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.
240000841 (California)
Definition
Definition to come...
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