Davita Riverside Ii Llc in Riverside - End-stage Renal Disease (esrd) Treatment

Davita Riverside Ii Llc - NPI 1316971641

Davita Riverside Ii Llc is a End-stage Renal Disease (esrd) Treatment in Riverside, California. Davita Riverside Ii Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Davita Riverside Ii Llc is 1316971641. The last update date is 2022-08-04.

Davita Riverside Ii Llc's current location address is 11161 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9513518090 and fax number 9513518099. The mailing address for Davita Riverside Ii Llc is 11161 Magnolia Ave, Riverside, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Davita Riverside Ii Llc
Address 11161 Magnolia Ave, Riverside, California
Phone Number 9513518090
Fax Number 9513518099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1316971641
Provider Enumeration Date 2006-07-11
Last Updated Date 2022-08-04

Provider Mailing Address Detail

Address 11161 Magnolia Ave
City Riverside
State California (CA)
Post Code 925053605
Phone Number 9513518090
Fax Number 9513518099

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 550000177
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
1316971641 CA --

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FAQs about Davita Riverside Ii Llc

What is the unique 10-digit identifier code assigned to Davita Riverside Ii Llc by the Centers for Medicare & Medicaid Services?

The Davita Riverside Ii Llc has been issued the NPI (National Provider Identifier) 1316971641 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Davita Riverside Ii Llc?

The Davita Riverside Ii Llc is situated at 11161 Magnolia Ave, in the city of Riverside, state of CA, with the zip code 925053605.

What is Davita Riverside Ii Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Davita Riverside Ii Llc'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 assign the 1316971641 to Davita Riverside Ii Llc?

The Centers for Medicare & Medicaid Services assigned the 1316971641 to Davita Riverside Ii Llc on 2006-07-11.

When was the information regarding Davita Riverside Ii Llc most recently updated?

The details pertaining to the Davita Riverside Ii Llc, including its address, specialty, and other relevant information, were last refreshed on 2022-08-04.

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