Organization
AV ACUTE HEMODIALYSIS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHASSAN DAHHAN M.D. (OWNER)
(661) 267-7645
Entity
Organization
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 726-6672
Mailing address
1643 E PALMDALE BLVD, PALMDALE, CA 93550-4847
(661) 267-7645
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
499892
CA
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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