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Bohama Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rancho Cucamonga, California
NPI 1497095905

Bohama Dialysis 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. Bohama Dialysis Llc practices in Rancho Cucamonga, CA. The NPI Number for Bohama Dialysis Llc is 1497095905 and holds a License No. (California).

The current practice location address for Bohama Dialysis Llc is 8219 Rochester Ave, Rancho Cucamonga, CA and can be reached out via phone at 909-466-5489 and via fax at 909-477-2098.

Location: 8219 Rochester Ave, Rancho Cucamonga, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497095905
Provider Name
Bohama Dialysis Llc
Credential
Provider Entity Type
Organization
Address
8219 Rochester Ave, Rancho Cucamonga, CA, 37027-7569
Phone Number
909-466-5489
Fax Number
909-477-2098
Provider Enumeration Date
02/20/2013
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497095905 05 CA
institution
Provider Business Practice Location Address Details
Address
8219 Rochester Ave
City
Rancho Cucamonga
State
California
Zip
91730-0723
Phone Number
909-466-5489
Fax Number
909-477-2098
person
Provider Business Mailing Address Details
Address
8219 Rochester Ave
City
Rancho Cucamonga
State
California
Zip
91730-0723
Phone Number
909-466-5489
Fax Number
909-477-2098
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.
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Definition
Definition to come...
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