| NPI | 1295700201 |
|---|---|
| Doing Business As | SAN YSIDRO 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 080000711) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-06-26 |