Moreno Valley Dialysis Center in Moreno Valley - End-stage Renal Disease (esrd) Treatment
Moreno Valley Dialysis Center - NPI 1518959774
Moreno Valley Dialysis Center is a End-stage Renal Disease (esrd) Treatment in Moreno Valley, California. Moreno Valley Dialysis Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Moreno Valley Dialysis Center is 1518959774. The last update date is 2020-08-22.
Moreno Valley Dialysis Center's current location address is 22620 Goldencrest Dr, Moreno Valley, California. You can contact this provider via phone number 9516563804. The mailing address for Moreno Valley Dialysis Center is 22620 Goldencrest Dr, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moreno Valley Dialysis Center |
|---|---|
| Address | 22620 Goldencrest Dr, Moreno Valley, California |
| Phone Number | 9516563804 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Azer Maher |
| Credentials | M.D. |
| Telephone Number | 5625982173 |
NPI Number Detail
| NPI Number | 1518959774 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 22620 Goldencrest Dr |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925539032 |
| Phone Number | 9516563804 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC02749F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Moreno Valley Dialysis Center by the Centers for Medicare & Medicaid Services?
The Moreno Valley Dialysis Center has been issued the NPI (National Provider Identifier) 1518959774, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Moreno Valley Dialysis Center is geographically located?
The Moreno Valley Dialysis Center is physically situated at the following location: 22620 Goldencrest Dr, Moreno Valley, CA, 925539032.
What is Moreno Valley Dialysis Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Moreno Valley Dialysis Center's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518959774 to Moreno Valley Dialysis Center?
The Moreno Valley Dialysis Center received its 1518959774 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information pertaining to Moreno Valley Dialysis Center most recently updated or revised?
The details related to Moreno Valley Dialysis Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.