Antelope Valley Dialysis Center Medical Group, Inc in Lancaster - End-stage Renal Disease (esrd) Treatment
Antelope Valley Dialysis Center Medical Group, Inc - NPI 1730285818
Antelope Valley Dialysis Center Medical Group, Inc is a End-stage Renal Disease (esrd) Treatment in Lancaster, California. Antelope Valley Dialysis Center Medical Group, Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Antelope Valley Dialysis Center Medical Group, Inc is 1730285818. The last update date is 2007-07-10.
Antelope Valley Dialysis Center Medical Group, Inc's current location address is 1759 W Avenue J # 102, Lancaster, California. You can contact this provider via phone number 6619426400 and fax number 6617293985. The mailing address for Antelope Valley Dialysis Center Medical Group, Inc is 1759 W Avenue J # 102, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antelope Valley Dialysis Center Medical Group, Inc |
|---|---|
| Address | 1759 W Avenue J # 102, Lancaster, California |
| Phone Number | 6619426400 |
| Fax Number | 6617293985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dahhan S Ghassan |
| Credentials | M.D. |
| Telephone Number | 6612677645 |
NPI Number Detail
| NPI Number | 1730285818 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 1759 W Avenue J # 102 |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 935342703 |
| Phone Number | 6619426400 |
| Fax Number | 6617293985 |
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 |
|---|---|---|---|
| ZZT11810G | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Antelope Valley Dialysis Center Medical Group, Inc by the Centers for Medicare & Medicaid Services?
The Antelope Valley Dialysis Center Medical Group, Inc has been issued the NPI (National Provider Identifier) 1730285818 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Antelope Valley Dialysis Center Medical Group, Inc?
The Antelope Valley Dialysis Center Medical Group, Inc is physically situated at 1759 W Avenue J # 102, in the city of Lancaster, state of CA, with the postal code 935342703.
What is Antelope Valley Dialysis Center Medical Group, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Antelope Valley Dialysis Center Medical Group, Inc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Antelope Valley Dialysis Center Medical Group, Inc receive its 1730285818 assignment from the Centers for Medicare & Medicaid Services?
The Antelope Valley Dialysis Center Medical Group, Inc was assigned its 1730285818 by the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information pertaining to Antelope Valley Dialysis Center Medical Group, Inc most recently updated or revised?
The details related to Antelope Valley Dialysis Center Medical Group, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-10.