DAVITA RIVERSIDE II LLC is an end-stage renal disease (esrd) treatment clinic center in Riverside, CA. DAVITA RIVERSIDE II LLC NPI is 1316971641. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia West Dialysis.
The provider's business location address is:
11161 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505-605
Phone: (951) 351-8090
Fax: (951) 351-8099
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 05D1062828 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/4/2024.