DAVITA RIVERSIDE LLC

NPI # 

Practice Address:

1181 N State St

San Jacinto, CA, 92583-6317

Practice Phone:

951-487-6528

Practice Fax:

951-487-8518

License Number:

240000810

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X