Organization
AVIA DIALYSIS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEDA MICHELLE OGANESYAN (CEO)
(513) 673-5245
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST STE 204, VAN NUYS, CA 91405-3666
(513) 673-5245
(866) 352-4339
Mailing address
15211 VANOWEN ST STE 204, VAN NUYS, CA 91405-3666
(513) 673-5245
(866) 352-4339
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PENDING
CA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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