institution
Antelope Valley Dialysis Center Medical Group, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lancaster, California
NPI 1730285818

Antelope Valley Dialysis Center Medical Group, Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Palmdale, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Antelope Valley Dialysis Center Medical Group, Inc practices in Lancaster, CA. The NPI Number for Antelope Valley Dialysis Center Medical Group, Inc is 1730285818 and holds a License No. (California).

The current practice location address for Antelope Valley Dialysis Center Medical Group, Inc is 1759 W Avenue J # 102, Lancaster, CA and can be reached out via phone at 661-942-6400 and via fax at 661-729-3985.

Location: 1759 W Avenue J # 102, Lancaster, CA, 93550-4847
institution
Provider Profile Details
NPI Number
1730285818
Provider Name
Antelope Valley Dialysis Center Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
1759 W Avenue J # 102, Lancaster, CA, 93550-4847
Phone Number
661-942-6400
Fax Number
661-729-3985
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZT11810G 05 CA
institution
Provider Business Practice Location Address Details
Address
1759 W Avenue J # 102
City
State
Zip
93534-2703
Phone Number
661-942-6400
Fax Number
661-729-3985
person
Provider Business Mailing Address Details
Address
1759 W Avenue J # 102
City
State
Zip
93534-2703
Phone Number
661-942-6400
Fax Number
661-729-3985
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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