Organization · NPI-2

Holt Dialysis Center, INC.

Clinic/Center · Pomona, CA

NPI number1477133296
StatusActive
Last updated in NPPESApr 30, 2021

Details

NPI
1477133296
Entity type
Organization (NPI-2)
Legal business name
Holt Dialysis Center, INC.
Organization subpart
No
Enumeration date
Apr 14, 2021
Certification date
Apr 30, 2021
Last updated
Apr 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Hdc (Doing Business As)

Practice location

550 Indian Hill Blvd
Pomona, CA 91767-5378

Phone 909-398-1550

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900

Phone 909-398-1550 · Fax 909-398-1563

Authorized official

Prasad A Jeereddi
Ceo
9093981550

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