DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in San Diego, CA. DVA RENAL HEALTHCARE INC NPI is 1093780017. The provider is registered as an organization entity type.
The provider Is Doing Business As San Diego South Dialysis.
The provider's business location address is:
995 GATEWAY CENTER WAY
STE 101
SAN DIEGO, CA
ZIP 92102-550
Phone: (619) 262-1960
Fax: (619) 262-2420
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 05D0926515 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/22/2006 and was last updated on 1/16/2024.