Organization
HIGH DESERT HEMODIALYSIS, INC.
Active
Organization
HIGH DESERT HEMODIALYSIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H FISHER M.D. (OWNER/CEO)
(661) 265-7810
Entity
Organization
Contact information
Practice address
1007 W AVENUE M14, SUITE B, PALMDALE, CA 93551-1443
(661) 265-7810
(661) 265-7089
Mailing address
1007 W AVENUE M14, SUITE B, PALMDALE, CA 93551-1443
(661) 265-7810
(661) 265-7089
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
A41776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02699F
—
CA
Enumeration date
07/20/2006
Last updated
08/28/2012
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