Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1790759744 Active

Practice location

2738 W Imperial Hwy
Inglewood, CA 90303-3111

Call (323) 779-5399 Map

Fax (323) 779-5651

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	930000427 (CA)

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

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NPI record

NPI: 1790759744
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Feb 23, 2026
Status: Active

Other names

<unavail>
Imperial Dialysis · doing business as
Imperial Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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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.

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About NPI 1790759744

Dva Healthcare Renal Care Inc's National Provider Identifier is 1790759744, issued on Feb 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Inglewood, CA. The record was last updated on Feb 23, 2026.