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Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Inglewood, California
NPI 1588638191

Dva Renal Healthcare 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 Renal Healthcare Inc practices in Inglewood, CA. The NPI Number for Dva Renal Healthcare Inc is 1588638191 and holds a License No. 930000862 (California).

The current practice location address for Dva Renal Healthcare Inc is 4632 W Century Blvd, Inglewood, CA and can be reached out via phone at 310-677-4262 and via fax at 310-677-1034.

Location: 4632 W Century Blvd, Inglewood, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588638191
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
4632 W Century Blvd, Inglewood, CA, 37027-7569
Phone Number
310-677-4262
Fax Number
310-677-1034
Provider Enumeration Date
02/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588638191 05 CA
institution
Provider Business Practice Location Address Details
Address
4632 W Century Blvd
City
Inglewood
State
California
Zip
90304-1456
Phone Number
310-677-4262
Fax Number
310-677-1034
person
Provider Business Mailing Address Details
Address
4632 W Century Blvd
City
Inglewood
State
California
Zip
90304-1456
Phone Number
310-677-4262
Fax Number
310-677-1034
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.
930000862 (California)
Definition
Definition to come...
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