Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Tower 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
8635 W 3RD ST, STE 560W, LOS ANGELES, CA 90048-6110
(310) 855-1742
(310) 289-1032
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
930000937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558337352
—
CA
Enumeration date
02/23/2006
Last updated
05/25/2023
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