Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tulare, CA
NPI number
1104891068
Active
Practice location
545 E Tulare Ave
Tulare, CA 93274-4220
Fax (559) 688-0326
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 | 240000788 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1104891068
Dva Renal Healthcare Inc's National Provider Identifier is 1104891068, issued on Feb 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tulare, CA. The record was last updated on Jul 27, 2026.