Organization
LA PUENTE DIALYSIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED ARIF ALI RIZVI M.D. (PRESIDENT)
(909) 542-2900
Entity
Organization
Contact information
Practice address
14557 TEMPLE AVE, LA PUENTE, CA 91744-3492
(626) 917-1719
(626) 917-2917
Mailing address
1335 CYPRESS STREET, SUITE 207, SAN DIMAS, CA 91773-3537
(909) 542-2900
(909) 592-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000458
CA
Other
Enumeration date
08/10/2006
Last updated
01/11/2017
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