| NPI | 1003887712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GREEN Secretary 562-495-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 110000468) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |