Moreno Valley Regional Dialysis in Moreno Valley - End-stage Renal Disease (esrd) Treatment

Moreno Valley Regional Dialysis - NPI 1740474683

Moreno Valley Regional Dialysis is a End-stage Renal Disease (esrd) Treatment in Moreno Valley, California. Moreno Valley Regional Dialysis practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Moreno Valley Regional Dialysis is 1740474683. The last update date is 2012-11-27.

Moreno Valley Regional Dialysis's current location address is 22620 Goldencrest Drive, Moreno Valley, California. You can contact this provider via phone number 9516563804 and fax number 9516567508. The mailing address for Moreno Valley Regional Dialysis is 22620 Goldencrest Drive, Moreno Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Moreno Valley Regional Dialysis
Address 22620 Goldencrest Drive, Moreno Valley, California
Phone Number 9516563804
Fax Number 9516567508
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Ravikumar Ramaswamy Gadsalli
Credentials M.D
Telephone Number 7142260818

NPI Number Detail

NPI Number 1740474683
Provider Enumeration Date 2007-09-04
Last Updated Date 2012-11-27

Provider Mailing Address Detail

Address 22620 Goldencrest Drive
City Moreno Valley
State California (CA)
Post Code 925539032
Phone Number 9516563804
Fax Number 9516567508

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 240000808
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

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FAQs about Moreno Valley Regional Dialysis

What is the unique 10-digit identifier code issued to Moreno Valley Regional Dialysis by the Centers for Medicare & Medicaid Services?

The Moreno Valley Regional Dialysis has been assigned the NPI (National Provider Identifier) 1740474683 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Moreno Valley Regional Dialysis's facilities are geographically located?

The facilities of Moreno Valley Regional Dialysis are physically situated at the following location: 22620 Goldencrest Drive, Moreno Valley, CA, 925539032.

What is the Moreno Valley Regional Dialysis's specialty and taxonomy code?

The Moreno Valley Regional Dialysis's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date was the 1740474683 assigned to Moreno Valley Regional Dialysis?

The Moreno Valley Regional Dialysis was issued its 1740474683 on 2007-09-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Moreno Valley Regional Dialysis most recently updated?

The details pertaining to the Moreno Valley Regional Dialysis, including its address, specialty, and other relevant information, were last refreshed on 2012-11-27.

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