institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Upland, California
NPI 1629043583

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 Upland, CA. The NPI Number for Dva Healthcare Renal Care Inc is 1629043583 and holds a License No. 240000013 (California).

The current practice location address for Dva Healthcare Renal Care Inc is 600 N 13Th Ave, Upland, CA and can be reached out via phone at 909-946-3802 and via fax at 909-946-0515.

Location: 600 N 13Th Ave, Upland, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1629043583
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
600 N 13Th Ave, Upland, CA, 37027-7569
Phone Number
909-946-3802
Fax Number
909-946-0515
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629043583 05 CA
institution
Provider Business Practice Location Address Details
Address
600 N 13Th Ave
City
State
Zip
91786-4957
Phone Number
909-946-3802
Fax Number
909-946-0515
person
Provider Business Mailing Address Details
Address
600 N 13Th Ave
City
State
Zip
91786-4957
Phone Number
909-946-3802
Fax Number
909-946-0515
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
240000013 (California)
Definition
Definition to come...
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