Organization
MELLEN DIALYSIS LLC
Active
Other names
Eastvale Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
14260 SCHLEISMAN RD, EASTVALE, CA 92880-4020
(951) 735-2024
(951) 735-2094
Mailing address
5200 VIRGINIA WAY L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
10/05/2020
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