| NPI | 1477608370 |
|---|---|
| Doing Business As | KAISER FOUNDATION HOSPITAL FONTANA ESRD |
| Entity Type | Organization |
| Authorized Contact | GREGORY K CHRISTIAN Executive Director 909-427-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: CA 240000159) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-04-14 |