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Organization

MONROVIA DIALYSIS FACILITY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARESH MOHAN KHILNANI M.D. (PHYSICIAN)
(626) 353-8525
Entity
Organization

Contact information

Practice address
1930 WALKER AVE, MONROVIA, CA 91016-4847
(626) 353-8525
Mailing address
51 N 5TH AVE STE 302, ARCADIA, CA 91006-3711
(626) 353-8525

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
A050550
CA

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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