| NPI | 1003396615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED QUTUB KHAN President 951-343-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-03-25 |