NPI | 1235104159 |
---|---|
Doing Business As | EAST LA PLAZA DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D. WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000341) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2023-05-25 |