institution
Manito Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendora, California
NPI 1902213580

Manito 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. Manito Dialysis Llc practices in Glendora, CA. The NPI Number for Manito Dialysis Llc is 1902213580 and holds a License No. 550003385 (California).

The current practice location address for Manito Dialysis Llc is 750 W Route 66 Ste Q, Glendora, CA and can be reached out via phone at 626-335-2063 and via fax at 626-914-1480.

Location: 750 W Route 66 Ste Q, Glendora, CA, 37027-7569
institution
Provider Profile Details
NPI Number
1902213580
Provider Name
Manito Dialysis Llc
Credential
Provider Entity Type
Organization
Address
750 W Route 66 Ste Q, Glendora, CA, 37027-7569
Phone Number
626-335-2063
Fax Number
626-914-1480
Provider Enumeration Date
07/16/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1902213580 05 CA
institution
Provider Business Practice Location Address Details
Address
750 W Route 66 Ste Q
City
State
Zip
91740-4164
Phone Number
626-335-2063
Fax Number
626-914-1480
person
Provider Business Mailing Address Details
Address
750 W Route 66 Ste Q
City
State
Zip
91740-4164
Phone Number
626-335-2063
Fax Number
626-914-1480
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
550003385 (California)
Definition
Definition to come...
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