Organization
CITRUS DIALYSIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJTABA MOGHADAM M.D. (PRESIDENT)
(909) 542-2900
Entity
Organization
Contact information
Practice address
315 N 3RD AVE, SUITE 104, COVINA, CA 91723-1905
(626) 331-0133
(626) 331-6649
Mailing address
1335 CYPRESS STREET, SUITE 207, SAND DIMAS, CA 91773-3537
(909) 542-2900
(909) 549-2600
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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