Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1881668093 Active

Practice location

238 Orangefair Mall
Fullerton, CA 92832-3037

Call (714) 447-3045 Map

Fax (714) 447-3645

Mailing address

5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	080000682 (CA)

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

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NPI record

NPI: 1881668093
Entity type: Organization (Type 2)
Issued: Feb 14, 2006
Last updated: Sep 13, 2024
Status: Active

Other names

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

Authorized official

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

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About NPI 1881668093

Dva Renal Healthcare Inc's National Provider Identifier is 1881668093, issued on Feb 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fullerton, CA. The record was last updated on Sep 13, 2024.