Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1174597033 Active

Practice location

125 E Arbor Vitae St
Inglewood, CA 90301-3839

Call (310) 677-6114 Map

Fax (310) 677-9456

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	930000230 (CA)

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

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NPI record

NPI: 1174597033
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Feb 7, 2025
Status: Active

Other names

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

Authorized official

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

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About NPI 1174597033

Dva Healthcare Renal Care Inc's National Provider Identifier is 1174597033, 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 Inglewood, CA. The record was last updated on Feb 7, 2025.