ANTELOPE VALLEY DIALYSIS CENTER MEDICAL GROUP, INC is an end-stage renal disease (esrd) treatment clinic center in Lancaster, CA. ANTELOPE VALLEY DIALYSIS CENTER MEDICAL GROUP, INC NPI is 1730285818. The provider is registered as an organization entity type.
The provider's business location address is:
1759 W AVENUE J # 102
LANCASTER, CA
ZIP 93534-703
Phone: (661) 942-6400
Fax: (661) 729-3985
The provider's authorized official is Ghassan S Dahhan .
The authorized official title is Administrator and has the following contact phone number (661) 267-7645.
The CLIA number assigned to this NPI record is 05D0587935 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/15/2006 and was last updated on 7/10/2007.