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
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Corona
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.