Moreno Valley Dialysis Center

LBN: Moreno Valley Dialysis Center
Moreno Valley Dialysis Center is an health care organization with primary practice located at 22620 Goldencrest Dr , Moreno Valley CA 92553-9032. 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. Moreno Valley Dialysis Center can be contacted via phone (951) 656-3804, or through Azer, Maher via phone (562) 598-2173.

Contact Information

Primary practice address
22620 Goldencrest Dr Moreno Valley CA 92553-9032
Phone: (951) 656-3804
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Azer, Maher Doctor of Medicine (MD)
Phone: (562) 598-2173

Health care specialties

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

Profile Details

NPI number 1518959774
LBN Legal business name Moreno Valley Dialysis Center
DBA Doing business as
Authorized official Azer, Maher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 22nd, 2020 - about 4 years 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 1518959774 NPPES
California MEDICAID CDC02749F

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