| NPI | 1336992676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CARABELLO Managing Member 323-526-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |