| NPI | 1144843012 |
|---|---|
| Doing Business As | IKIDNEY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES NGUYEN-THANH LE President 619-929-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-05-12 |