Organization · Type 2 NPI

Home Dialysis Centers of Rancho Cucamonga LLC

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

NPI number 1720314982 Active

Practice location

8239 Rochester Ave, Suite 110
Rancho Cucamonga, CA 91730-0714

Fax (909) 945-2152

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

Leela Mazarei, PAPhysician Assistant Rancho Cucamonga, CA NPI 1912726316

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

See all in Rancho Cucamonga →

NPI record

NPI: 1720314982
Entity type: Organization (Type 2)
Issued: Oct 23, 2009
Last updated: Apr 8, 2022
Status: Active

Other names

<unavail>
Home Dialysis Centers · doing business as
Home Dialysis Centers · doing business as

Authorized official

Mr. Shawn Mehrabian, MSC
Director of Operations
(818) 939-2047

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 1720314982

Home Dialysis Centers of Rancho Cucamonga LLC's National Provider Identifier is 1720314982, issued on Oct 23, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 8, 2022.