| NPI | 1366469363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN G KAVALICH CEO Medical Director 909-381-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-05-15 |