Organization
RANCHO DIALYSIS CENTER INC
Active
Organization
RANCHO DIALYSIS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LYNN MONTE (BILLING MANAGER)
(909) 542-2898
Entity
Organization
Contact information
Practice address
7777 MILLIKEN AVE, RANCHO CUCAMONGA, CA 91730-6780
(909) 542-2898
Mailing address
1335 CYPRESS ST STE 207, SAN DIMAS, CA 91773-3539
(909) 542-2898
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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