| NPI | 1437241403 |
|---|---|
| Doing Business As | GLENDALE KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | RAFFI MINASIAN Owner 818-662-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000942) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-10-11 |