KAMIAH DIALYSIS LLC NPI 1043631427

NPI Information

KAMIAH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pomona, CA. KAMIAH DIALYSIS LLC NPI is 1043631427. The provider is registered as an organization entity type.
The provider Is Doing Business As Pomona Valley Dialysis.

The provider's business location address is:

2703 S TOWNE AVE
POMONA, CA
ZIP 91766-206
Phone: (909) 590-4930
Fax: (909) 591-8425

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 05D2077465 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 7/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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