San Diego South Dialysis

LBN: Dva Renal Healthcare Inc
San Diego South Dialysis is an health care organization with primary practice located at 995 Gateway Center Way Ste 101, San Diego CA 92102-4550. 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) 262-1960, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
995 Gateway Center Way Ste 101 San Diego CA 92102-4550
Phone: (619) 262-1960
Fax: (619) 262-2420
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 080000705 California

Profile Details

NPI number 1093780017
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as San Diego South Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 16th, 2024 - about 2 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 1093780017 NPPES
Louisiana MEDICAID 1791954
Louisiana MEDICAID 1093780017

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