Organization
MONTEBELLO ARTIFICIAL KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY DHAWAN M.D. (DIRECTOR)
(323) 721-9411
Entity
Organization
Contact information
Practice address
3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 728-7580
(323) 728-7590
Mailing address
3404 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 728-7580
(323) 728-7590
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
04/28/2010
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