| NPI | 1033141254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTHIYALIAH BABU Administrator 805-349-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-12-07 |