| NPI | 1053356642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VIRAL UPPONI Director Of Accounts Receivable 805-433-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 080000747) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-01-07 |