institution
Davita Riverside Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jacinto, California
NPI 1578524815

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 San Jacinto, CA. The NPI Number for Davita Riverside Llc is 1578524815 and holds a License No. 240000810 (California).

The current practice location address for Davita Riverside Llc is 1181 N State St, San Jacinto, CA and can be reached out via phone at 951-487-6528 and via fax at 951-487-8518.

Location: 1181 N State St, San Jacinto, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1578524815
Provider Name
Davita Riverside Llc
Credential
Provider Entity Type
Organization
Address
1181 N State St, San Jacinto, CA, 37027-7569
Phone Number
951-487-6528
Fax Number
951-487-8518
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578524815 05 CA
institution
Provider Business Practice Location Address Details
Address
1181 N State St
City
State
Zip
92583-6317
Phone Number
951-487-6528
Fax Number
951-487-8518
person
Provider Business Mailing Address Details
Address
1181 N State St
City
State
Zip
92583-6317
Phone Number
951-487-6528
Fax Number
951-487-8518
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
240000810 (California)
Definition
Definition to come...
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