Provider Demographics
NPI:1437694601
Name:DIALYSIS AND PHERESIS TECHNOLOGIES, INC
Entity Type:Organization
Organization Name:DIALYSIS AND PHERESIS TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-938-0800
Mailing Address - Street 1:3282 LANCE DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95205-2440
Mailing Address - Country:US
Mailing Address - Phone:209-938-0800
Mailing Address - Fax:209-938-0858
Practice Address - Street 1:3282 LANCE DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95205-2440
Practice Address - Country:US
Practice Address - Phone:209-938-0800
Practice Address - Fax:209-938-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care