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
- City
- San Dimas
- State
- California
- 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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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