| Davita Renal Specialists Of California Medical Corporation | |
|
1360 Burton Dr Suite 160 Vacaville CA 95687-3539 | |
| (707) 446-4379 | |
| (707) 446-4417 |
| Full Name | Davita Renal Specialists Of California Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 1360 Burton Dr, Vacaville, California |
| Authorized Official Name and Position | Anthony Gabriel (PRESIDENT) |
| Authorized Official Contact | 3036266103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davita Renal Specialists Of California Medical Corporation 1360 Burton Dr Suite 160 Vacaville CA 95687-3557 Ph: (707) 466-4379 | Davita Renal Specialists Of California Medical Corporation 1360 Burton Dr Suite 160 Vacaville CA 95687-3539 Ph: (707) 446-4379 |
| NPI Number | 1013977461 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 01/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013977461 | NPI | - | NPPES |
| DA5762 | Other | CA | RR RET BOARD MED RR CARR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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