Organization
KAISER FOUNDATION HOSPITALS
Active
Parent organization
KAISER FOUNDATION HOSPITAL
Other names
Outpatient Services - Peritoneal Dialysis at Kaiser Moreno Valley CAPD
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HOSPITAL
Authorized official
VITA WILLETT (SVP AND AREA MANAGER)
(951) 353-4601
Entity
Organization
Contact information
Practice address
27200 IRIS AVENUE MOB 2, MORENO VALLEY, CA 92555-4803
(951) 251-6205
Mailing address
27200 IRIS AVENUE MOB 2, MORENO VALLEY, CA 92555-4803
(951) 251-6205
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
04/14/2021
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