DVA HEALTHCARE RENAL CARE INC

NPI # 

Practice Address:

17590 Foothill Blvd

Fontana, CA, 92335-3785

Practice Phone:

909-356-9664

Practice Fax:

909-356-9687

License Number:

240000334

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X