Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1073587986 Active

Practice location

12126 Victory Blvd
North Hollywood, CA 91606-3205

Call (818) 980-5070 Map

Fax (818) 980-9956

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	930000880 (CA)

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

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NPI record

NPI: 1073587986
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Aug 12, 2024
Status: Active

Other names

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North Hollywood Dialysis · doing business as
North Hollywood Dialysis · doing business as

Authorized official

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

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About NPI 1073587986

Dva Healthcare Renal Care Inc's National Provider Identifier is 1073587986, issued on Feb 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in North Hollywood, CA. The record was last updated on Aug 12, 2024.