Organization
ROPHETS DIALYSIS LLC
Active
Other names
Vista Heights Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
12220 PERRIS BLVD, STE A, MORENO VALLEY, CA 92557-7417
(951) 242-5112
(951) 242-9913
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730631045
—
CA
Enumeration date
11/03/2016
Last updated
10/09/2024
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