| NPI | 1447285275 |
|---|---|
| Doing Business As | SAN DIMAS DIALYSIS CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | MOJTABA MOGHADAM President 909-542-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550000175) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-06-27 |