| NPI | 1407897358 |
|---|---|
| Doing Business As | SAN JOAQUIN KIDNEY CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | P. B. SAGIREDDY Owner 209-546-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A73135) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-01-06 |