JAMBOOR MEDICAL CORPORATION NPI 1225460264

NPI Information

JAMBOOR MEDICAL CORPORATION is an end-stage renal disease (esrd) treatment clinic center in Victorville, CA. JAMBOOR MEDICAL CORPORATION NPI is 1225460264. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Cities Dialysis-amethyst.

The provider's business location address is:

11883 AMETHYST RD
VICTORVILLE, CA
ZIP 92392-224
Phone: (760) 241-8063
Fax: (760) 241-5037

The provider's authorized official is Jay E Shankar .
The authorized official title is Ceo/president and has the following contact phone number (760) 241-8063.

The CLIA number assigned to this NPI record is 05D2071670 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2013 and was last updated on 4/27/2022.

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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