Dva Renal Healthcare INC

NPI #1568436715 in Chula Vista, California

Provider Information

NPI Number
1568436715
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Feb 15, 2006
Last Updated
Aug 13, 2007

Practice Location

Address
630 BAY BLVD
Address 2
STE 101
ZIP Code
91910-5262
Phone
(619) 420-6725

Authorized Official

Name
THOMAS O USILTON JR.
Title
GROUP VICE PRESIDENT
Phone
(770) 541-7922

Specialties & Taxonomy Codes

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

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