NPI: 1447285275
Provider Name: SAN DIMAS DIALYSIS CENTER A MEDICAL CORPORATION
Doing Business As: SAN DIMAS DIALYSIS CENTER, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
Address:
1335 W CYPRESS AVE
SUITE 102
SAN DIMAS, CA
ZIP 91773
Phone: (909) 542-2900
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SAN DIMAS DIALYSIS CENTER A MEDICAL CORPORATION is an end-stage renal disease (esrd) treatment clinic center in San Dimas, CA. SAN DIMAS DIALYSIS CENTER A MEDICAL CORPORATION NPI is 1447285275. The provider is registered as an organization entity type.
The provider Is Doing Business As San Dimas Dialysis Center, Inc..
The provider's business location address is:
1335 W CYPRESS AVE
SUITE 102
SAN DIMAS, CA
ZIP 91773-537
Phone: (909) 542-2900
Fax: (909) 394-1800
The provider's authorized official is Mojtaba Moghadam .
The authorized official title is President and has the following contact phone number (909) 542-2900.
The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/27/2012.