Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
East LA Plaza Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, STE L 100, LOS ANGELES, CA 90033-2472
(323) 261-0484
(323) 261-5348
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235104159
—
CA
Enumeration date
02/22/2006
Last updated
05/25/2023
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