Organization
LA PUENTE DIALYSIS CENTER, INC.
Active
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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