Organization
HOLT DIALYSIS CENTER, INC.
Active
Other names
HDC
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD A JEEREDDI MD (CEO)
(909) 398-1550
Entity
Organization
Contact information
Practice address
550 INDIAN HILL BLVD, POMONA, CA 91767-5378
(909) 398-1550
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1563
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P8JGNBY
SECRETARY OF THE STATE
CA
Enumeration date
04/14/2021
Last updated
04/30/2021
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