Organization
DIALYSIS CENTER OF ONTARIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HLA MYINT MAUNG M.D (DIRECTOR)
(909) 981-5882
Entity
Organization
Contact information
Practice address
2850 INLAND EMPIRE BLVD STE C, ONTARIO, CA 91764-4659
(909) 476-2638
(909) 946-0833
Mailing address
536 E. FOOTHILL BLVD,, UPLAND, CA 91786
(909) 981-5882
(909) 946-0833
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2007
Last updated
12/13/2013
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