Diamond Valley Dialysis

LBN: Davita Riverside Llc
Diamond Valley Dialysis is an health care organization with primary practice located at 1181 N State St , San Jacinto CA 92583-6317. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Davita Riverside Llc can be contacted via phone (951) 487-6528, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1181 N State St San Jacinto CA 92583-6317
Phone: (951) 487-6528
Fax: (951) 487-8518
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 240000810 California

Profile Details

NPI number 1578524815
LBN Legal business name Davita Riverside Llc
DBA Doing business as Diamond Valley Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 8th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578524815 NPPES
California MEDICAID 1578524815

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