Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1073587697 Active

Practice location

1341 W La Palma Ave
Anaheim, CA 92801-2817

Call (714) 254-1484 Map

Fax (714) 254-1914

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	080000688 (CA)

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

Another provider at this address

Ashley Slone, RDNRegistered Dietitian Anaheim, CA NPI 1437723400

Other end-stage renal disease (esrd) treatment clinic/center providers in Anaheim

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NPI record

NPI: 1073587697
Entity type: Organization (Type 2)
Issued: Feb 13, 2006
Last updated: Feb 28, 2024
Status: Active

Other names

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

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1073587697

Dva Renal Healthcare Inc's National Provider Identifier is 1073587697, 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 Anaheim, CA. The record was last updated on Feb 28, 2024.