| NPI | 1477294817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MASTOV CEO 323-327-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-04-09 |