| NPI | 1386828010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH CARTER Vice President 661-342-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550001112) |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2014-08-07 |