Organization · Type 2 NPI

Kamiah Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pomona, CA

NPI number 1043631427 Active

Practice location

2703 S Towne Ave
Pomona, CA 91766-6206

Call (909) 590-4930 Map

Fax (909) 591-8425

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	550002734 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1043631427
Entity type: Organization (Type 2)
Issued: Jan 2, 2014
Last updated: Mar 17, 2022
Status: Active

Other names

<unavail>
Pomona Valley Dialysis · doing business as
Pomona Valley Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1043631427

Kamiah Dialysis LLC's National Provider Identifier is 1043631427, issued on Jan 2, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pomona, CA. The record was last updated on Mar 17, 2022.