NPI | 1235130352 |
---|---|
Doing Business As | SAN MATEO DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | CYNTHIA JANSEN CEO 650-377-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 140000630) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-08-22 |