Organization · Type 2 NPI
Tricity Riverside Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Riverside, CA
NPI number
1003396615
Active
Practice location
7275 Indiana Ave
Riverside, CA 92504-4543
Mailing address
3595 Van Buren Blvd Ste 203
Riverside, CA 92503-0311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1003396615
Tricity Riverside Dialysis's National Provider Identifier is 1003396615, issued on Aug 14, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Riverside, CA. The record was last updated on Mar 25, 2019.