| NPI | 1134612468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED AGHAJANI Finance Supervisor 626-405-6347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: CA 070000661) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-04-14 |