Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Oakland 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
5354 CLAREMONT AVE, OAKLAND, CA 94618-1035
(510) 597-0104
(510) 597-0249
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
140000431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447224365
—
CA
Enumeration date
02/15/2006
Last updated
05/26/2023
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