Organization · Type 2 NPI
Ontario Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ontario, CA
NPI number
1184687345
Active
Practice location
1950 S Grove Ave, Ste 101
Ontario, CA 91761-5693
Fax (909) 930-5690
Mailing address
5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 550000080 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1184687345
Ontario Dialysis Center LLC's National Provider Identifier is 1184687345, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ontario, CA. The record was last updated on Sep 24, 2007.