| NPI | 1215342175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARAG SHAH Owner 818-365-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 552777) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2015-09-04 |