NPI | 1114980927 |
---|---|
Doing Business As | LOMA VISTA DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 000264) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2023-06-27 |