| NPI | 1346062999 |
|---|---|
| Other Name | PENINSULA DIALYSIS ACCESS, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRIS MCMAHON Vice President 408-410-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-12-30 |