ANTELOPE VALLEY DIALYSIS CENTER MEDICAL GROUP, INC

LANCASTER, CA
NPI1730285818
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 Date2007-07-10
Business Address
ANTELOPE VALLEY DIALYSIS CENTER MEDICAL GROUP, INC
1759 W AVENUE J # 102
LANCASTER, CA 93534-2703
Phone number: 661-942-6400
Mailing Address
ANTELOPE VALLEY DIALYSIS CENTER MEDICAL GROUP, INC
1643 E PALMDALE BLVD
PALMDALE, CA 93550-4847
Phone number: 661-267-7645