| NPI | 1013981455 |
|---|---|
| Doing Business As | COSTA MESA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T. WEY VP, Licensure & Certification 615-341-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 080000778) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-04-24 |