Organization
JAMBOOR MEDICAL CORPORATION
Active
Other names
Desert Cities Dialysis-Amethyst
Organization subpart
No
Provider details
NPI number
Authorized official
JAY E SHANKAR M.D. (CEO/PRESIDENT)
(760) 241-8063
Entity
Organization
Contact information
Practice address
11883 AMETHYST RD, VICTORVILLE, CA 92392-9224
(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
—
—
Other
Enumeration date
08/01/2013
Last updated
04/27/2022
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