San Ysidro Dialysis

LBN: Dva Renal Healthcare Inc
San Ysidro Dialysis is an health care organization with primary practice located at 1445 30Th St Ste A - B, San Diego CA 92154-3496. 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. Dva Renal Healthcare Inc can be contacted via phone (619) 575-3901, or through Winstel, John D. via phone (253) 733-4501.

Contact Information

Primary practice address
1445 30Th St Ste A - B San Diego CA 92154-3496
Phone: (619) 575-3901
Fax: (619) 575-5538
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D.
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 080000711 California

Profile Details

NPI number 1295700201
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as San Ysidro Dialysis
Authorized official Winstel, John D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 26th, 2023 - about last year

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 1295700201 NPPES
California MEDICAID 1295700201

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