DAVITA RIVERSIDE LLC is an end-stage renal disease (esrd) treatment clinic center in San Jacinto, CA. DAVITA RIVERSIDE LLC NPI is 1578524815. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Valley Dialysis.
The provider's business location address is:
1181 N STATE ST
SAN JACINTO, CA
ZIP 92583-317
Phone: (951) 487-6528
Fax: (951) 487-8518
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 05D2000270 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/28/2006 and was last updated on 2/8/2024.