Dva Renal Healthcare INC
NPI #1093780017 in San Diego, California
Provider Information
- NPI Number
- 1093780017
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 22, 2006
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 995 GATEWAY CENTER WAY
- Address 2
- STE 101
- City
- San Diego
- State
- California
- ZIP Code
- 92102-4550
- Phone
- (619) 262-1960
Authorized Official
- Name
- SAMUEL T. WEY SR.
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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