Citrus Valley Dialysis

LBN: Renal Treatment Centers California Inc
Citrus Valley Dialysis is an health care organization with primary practice located at 894 Hardt St , San Bernardino CA 92408-2854. 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. Renal Treatment Centers California Inc can be contacted via phone (909) 388-6608, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
894 Hardt St San Bernardino CA 92408-2854
Phone: (909) 388-6608
Fax: (909) 388-6639
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 550000010 California

Profile Details

NPI number 1043271489
LBN Legal business name Renal Treatment Centers California Inc
DBA Doing business as Citrus Valley Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2006
Last updated May 8th, 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 1043271489 NPPES
California MEDICAID 1043271489

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