San Bernardino Valley Home Dialysis Center, Inc.
NPI #1366469363 in San Bernardino, California
Provider Information
- NPI Number
- 1366469363
- Entity Type
- Organization
- Organization Name
- San Bernardino Valley Home Dialysis Center, Inc.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 16, 2006
- Last Updated
- May 15, 2012
Practice Location
- Address
- 1500 N WATERMAN AVE
- Address 2
- SUITE B
- City
- San Bernardino
- State
- California
- ZIP Code
- 92404-5111
- Phone
- (909) 381-1595
Authorized Official
- Name
- DR. ALLAN G KAVALICH, M.D.
- Title
- CEO - MEDICAL DIRECTOR
- Phone
- (909) 381-1595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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