Organization
ANTELOPE VALLEY KIDNEY INSTITUTE, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAY SUNKU MD (MEDICAL DIRECTOR)
(661) 945-7755
Entity
Organization
Contact information
Practice address
43932 15TH ST REET WEST, SUITE 103, LANCASTER, CA 93534-5207
(661) 945-7755
(661) 945-7786
Mailing address
43932 15TH ST W, SUITE 103, LANCASTER, CA 93534-5207
(661) 945-7755
(661) 945-7786
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
09/23/2016
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