Organization
JAMBOOR MEDICAL CORPORATION
Active
Other names
Desert Cities Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAY ERIAH SHANKAR M.D. (OWNER)
(760) 241-8063
Entity
Organization
Contact information
Practice address
12675 HESPERIA RD, VICTORVILLE, CA 92395-5878
(760) 241-8063
(760) 241-5037
Mailing address
12675 HESPERIA RD, VICTORVILLE, CA 92395-5878
(760) 241-8063
(760) 241-5037
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
240000431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000431
STATE DHS LICENSE
CA
Enumeration date
08/05/2006
Last updated
04/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us