Organization
MOHAN DIALYSIS CENTER OF COVINA, INC
Active
Parent organization
MOHAN DIALYSIS CENTER OF COVINA, INC
Other names
mohan dialysis center of industry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOHAN DIALYSIS CENTER OF COVINA, INC
Authorized official
MRS. ANNA J MOHAN (BUSINESS MANAGER)
(626) 914-5553
Entity
Organization
Contact information
Practice address
15757 E VALLEY BLVD, CITY OF INDUSTRY, CA 91744-3900
(626) 333-3801
(626) 336-1303
Mailing address
638 S GLENDORA AVE, GLENDORA, CA 91740-4483
(626) 914-5553
(626) 914-5602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2008
Last updated
03/18/2021
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