Organization
HOA VU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY DIANE SWANSON (ACCOUNT MANAGER)
(951) 738-0968
Entity
Organization
Contact information
Practice address
330 N D ST, #320, SAN BERNARDINO, CA 92401-1545
(909) 381-3900
Mailing address
PO BOX 9057, REDLANDS, CA 92375-2257
(951) 738-0968
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A62459
CA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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