institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fontana, California
NPI 1326012311

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 Fontana, CA. The NPI Number for Dva Healthcare Renal Care Inc is 1326012311 and holds a License No. 240000334 (California).

The current practice location address for Dva Healthcare Renal Care Inc is 17590 Foothill Blvd, Fontana, CA and can be reached out via phone at 909-356-9664 and via fax at 909-356-9687.

Location: 17590 Foothill Blvd, Fontana, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1326012311
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
17590 Foothill Blvd, Fontana, CA, 37027-7569
Phone Number
909-356-9664
Fax Number
909-356-9687
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1326012311 05 CA
institution
Provider Business Practice Location Address Details
Address
17590 Foothill Blvd
City
State
Zip
92335-3785
Phone Number
909-356-9664
Fax Number
909-356-9687
person
Provider Business Mailing Address Details
Address
17590 Foothill Blvd
City
State
Zip
92335-3785
Phone Number
909-356-9664
Fax Number
909-356-9687
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
240000334 (California)
Definition
Definition to come...
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