Organization
SOUTH VALLEY REGIONAL DIALYSIS CENTER INC
Active
Organization
SOUTH VALLEY REGIONAL DIALYSIS CENTER INC
Active
Other names
South Valley Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SUE VOGEL JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
17815 VENTURA BLVD, STE 100, ENCINO, CA 91316-3600
(818) 757-4520
(818) 757-1043
Mailing address
17815 VENTURA BLVD, STE 100, ENCINO, CA 91316-3610
(818) 705-7219
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Enumeration date
06/08/2005
Last updated
08/22/2020
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