Organization · Type 2 NPI

Flagler Dialysis LLC

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

NPI number 1346590106 Active

Practice location

22620 Goldencrest Dr, Ste 101
Moreno Valley, CA 92553-9032

Call (951) 656-3804 Map

Fax (951) 656-7508

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	240000808 (CA)

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

Another provider at this address

Moreno Valley Dialysis CenterEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Moreno Valley, CA NPI 1518959774

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

See all in Moreno Valley →

NPI record

NPI: 1346590106
Entity type: Organization (Type 2)
Issued: Sep 19, 2012
Last updated: Feb 17, 2021
Status: Active

Other names

<unavail>
Moreno Valley Dialysis · doing business as
Moreno Valley Dialysis · doing business as

Authorized official

John D. Winstel
Cheif Accounting Officer
(253) 733-4501

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1346590106

Flagler Dialysis LLC's National Provider Identifier is 1346590106, issued on Sep 19, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Feb 17, 2021.