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Organization

UPLAND VASCULAR CENTER LLC

Active
Other names
Foothill Dialysis Access Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARY P BUI DO (PHYSICIAN OWNER)
(909) 982-4040
Entity
Organization

Contact information

Practice address
1317 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3675
(909) 982-4040
(855) 600-8819
Mailing address
1317 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3675
(909) 982-4040
(855) 600-8819

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX81160
CA
Enumeration date
11/06/2019
Last updated
11/02/2022
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