| NPI | 1275505588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GREEN Secretary 562-421-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000242) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2016-11-29 |