| NPI | 1346590106 |
|---|---|
| Doing Business As | MORENO VALLEY DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D. WINSTEL Cheif Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 240000808) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2021-02-17 |