San Dimas Dialysis Center a Medical Corporation

NPI #1447285275 in San Dimas, California

Provider Information

NPI Number
1447285275
Entity Type
Organization
Organization Name
San Dimas Dialysis Center a Medical Corporation
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 11, 2006
Last Updated
Jun 27, 2012

Practice Location

Address
1335 W CYPRESS AVE
Address 2
SUITE 102
ZIP Code
91773-3537
Phone
(909) 542-2900

Authorized Official

Name
DR. MOJTABA MOGHADAM, M.D.
Title
PRESIDENT
Phone
(909) 542-2900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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