Organization · Type 2 NPI

Renal Treatment Centers California Inc

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

NPI number 1902869357 Active

Practice location

4041 University Pkwy
San Bernardino, CA 92407-1823

Call (909) 887-0173 Map

Fax (909) 887-2892

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	240000530 (CA)

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

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NPI record

NPI: 1902869357
Entity type: Organization (Type 2)
Issued: Apr 7, 2006
Last updated: Aug 12, 2024
Status: Active

Other names

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Mountain Vista Dialysis Center · doing business as
Mountain Vista Dialysis Center · doing business as

Authorized official

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

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About NPI 1902869357

Renal Treatment Centers California Inc's National Provider Identifier is 1902869357, issued on Apr 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 12, 2024.