DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Banning, CA. DVA RENAL HEALTHCARE INC NPI is 1962476499. The provider is registered as an organization entity type.
The provider Is Doing Business As Banning Dialysis.
The provider's business location address is:
6090 W RAMSEY ST
BANNING, CA
ZIP 92220-052
Phone: (951) 845-4494
Fax: (951) 845-4845
The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 05D1015385 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/13/2006 and was last updated on 9/19/2023.