| NPI | 1003815986 |
|---|---|
| Doing Business As | GLENDALE HEMODIALYSIS FACILITY |
| Entity Type | Organization |
| Authorized Contact | JOHN R DE PALMA C.E.O./President 818-500-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000232) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |