| NPI | 1487699765 |
|---|---|
| Doing Business As | MODESTO KIDNEY CARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY E. GABRIEL Owner/President 310-536-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |