Organization · Type 2 NPI
Antelope Valley Dialysis Center Medical Group, Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lancaster, CA
NPI number
1730285818
Active
Practice location
1759 W Avenue J # 102
Lancaster, CA 93534-2703
Fax (661) 729-3985
Mailing address
1643 E Palmdale Blvd
Palmdale, CA 93550-4847
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...
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About NPI 1730285818
Antelope Valley Dialysis Center Medical Group, Inc's National Provider Identifier is 1730285818, issued on Sep 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lancaster, CA. The record was last updated on Jul 10, 2007.