CONEJO VALLEY DIALYSIS INC. NPI 1124130026

NPI Information

CONEJO VALLEY DIALYSIS, INC. is an end-stage renal disease (esrd) treatment clinic center in Thousand Oaks, CA. CONEJO VALLEY DIALYSIS, INC. NPI is 1124130026. The provider is registered as an organization entity type.
The provider Is Doing Business As Conejo Valley Renal Center.

The provider's business location address is:

227 W JANSS RD STE 115
THOUSAND OAKS, CA
ZIP 91360-853
Phone: (805) 496-6071
Fax: (805) 373-8730

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D0664989 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/5/2021.

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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