Organization · Type 2 NPI

Jamboor Medical Corporation

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

NPI number 1225460264 Active

Practice location

11883 Amethyst Rd
Victorville, CA 92392-9224

Call (760) 241-8063 Map

Fax (760) 241-5037

Mailing address

12675 Hesperia Rd
Victorville, CA 92395-5878

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...

Another provider at this address

Josephine Francine Corona, MDFamily Medicine Physician Victorville, CA NPI 1093248296

Other end-stage renal disease (esrd) treatment clinic/center providers in Victorville

See all in Victorville →

NPI record

NPI: 1225460264
Entity type: Organization (Type 2)
Issued: Aug 1, 2013
Last updated: Apr 27, 2022
Status: Active

Other names

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Desert Cities Dialysis-Amethyst · doing business as
Desert Cities Dialysis-Amethyst · doing business as

Authorized official

Jay E Shankar, MD
CEO/president
(760) 241-8063

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About NPI 1225460264

Jamboor Medical Corporation's National Provider Identifier is 1225460264, issued on Aug 1, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Victorville, CA. The record was last updated on Apr 27, 2022.