Organization · Type 2 NPI

Moraine Dialysis LLC

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

NPI number 1134516206 Active

Practice location

1180 W 6th St, Ste 101
Corona, CA 92882-3135

Fax (951) 808-9861

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1134516206

Moraine Dialysis LLC's National Provider Identifier is 1134516206, issued on Apr 16, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Corona, CA. The record was last updated on Nov 15, 2021.