DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in San Juan Capistrano, CA. DVA RENAL HEALTHCARE INC NPI is 1447226204. The provider is registered as an organization entity type.
The provider Is Doing Business As San Juan Capistrano South Dialysis.
The provider's business location address is:
31736 RANCHO VIEJO RD
STE D
SAN JUAN CAPISTRANO, CA
ZIP 92675-783
Phone: (949) 240-1454
Fax: (949) 240-0735
The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 05D0962066 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/23/2006 and was last updated on 1/18/2024.