Organization
MOHAN DIALYSIS CENTER OF COVINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA J MOHAN M.D. (OWNER/MEDICAL DIRECTOR)
(626) 859-2522
Entity
Organization
Contact information
Practice address
158 W COLLEGE ST, COVINA, CA 91723-2007
(626) 859-2522
(626) 331-0205
Mailing address
158 W COLLEGE ST, COVINA, CA 91723-2007
(626) 859-2522
(626) 331-0205
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
052726
CA
261Q00000X
Clinic/Center
052854
CA
261Q00000X
Clinic/Center
552538
CA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02726F
—
CA
Enumeration date
08/10/2006
Last updated
04/12/2023
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