Organization · Type 2 NPI
Moreno Valley Regional Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Moreno Valley, CA
NPI number
1740474683
Active
Practice location
22620 Goldencrest Drive, Suite 101
Moreno Valley, CA 92553-9032
Fax (951) 656-7508
Mailing address
3356 W Ball Rd
Anaheim, CA 92804-3702
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...
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About NPI 1740474683
Moreno Valley Regional Dialysis's National Provider Identifier is 1740474683, issued on Sep 4, 2007. 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 Nov 27, 2012.