Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1053385500 Active

Practice location

2655 Shattuck Ave
Berkeley, CA 94704-3237

Call (510) 486-8706 Map

Fax (510) 849-1008

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	140000228 (CA)

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

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NPI record

NPI: 1053385500
Entity type: Organization (Type 2)
Issued: Feb 13, 2006
Last updated: Nov 2, 2022
Status: Active

Other names

<unavail>
Berkeley Dialysis · doing business as
Berkeley Dialysis · doing business as

Authorized official

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

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About NPI 1053385500

Dva Healthcare Renal Care Inc's National Provider Identifier is 1053385500, issued on Feb 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Berkeley, CA. The record was last updated on Nov 2, 2022.