Davita Riverside LLC
NPI #1578524815 in San Jacinto, California
Provider Information
- NPI Number
- 1578524815
- Entity Type
- Organization
- Organization Name
- Davita Riverside LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 28, 2006
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1181 N STATE ST
- City
- San Jacinto
- State
- California
- ZIP Code
- 92583-6317
- Phone
- (951) 487-6528
Authorized Official
- Name
- SAMUEL T. WEY
- 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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