INDIAN WELLS VALLEY DIALYSIS MEDICAL CENTER INC

RIDGECREST, CA
NPI1154427243
Entity TypeOrganization
Authorized ContactGHASSAN S DAHHAN
Administrator
661-267-7645
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-09-15
Last Update Date2008-09-10
Business Address
INDIAN WELLS VALLEY DIALYSIS MEDICAL CENTER INC
212 S RICHMOND RD
RIDGECREST, CA 93555-4434
Phone number: 760-371-7506
Mailing Address
INDIAN WELLS VALLEY DIALYSIS MEDICAL CENTER INC
1643 E PALMDALE BLVD
PALMDALE, CA 93550-4847
Phone number: 661-267-7645