VILLANUEVA DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Victorville, CA. VILLANUEVA DIALYSIS LLC NPI is 1477836039. The provider is registered as an organization entity type.
The provider Is Doing Business As Mojave Sage Dialysis.
The provider's business location address is:
17207 JASMINE ST
VICTORVILLE, CA
ZIP 92395-786
Phone: (760) 241-8167
Fax: (760) 843-5685
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 05D2033528 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/21/2011 and was last updated on 2/13/2024.