KIDNEY DIALYSIS CENTER OF PISMO BEACH, LLC

PISMO BEACH, CA
NPI1518902758
Entity TypeOrganization
Authorized ContactLISA VIRAL UPPONI
Director Of Accounts Receivable
805-433-7506
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-06-19
Last Update Date2007-07-30
Business Address
KIDNEY DIALYSIS CENTER OF PISMO BEACH, LLC
320 JAMES WAY SUITE # 110
PISMO BEACH, CA 93449-2813
Phone number: 805-556-0577
Mailing Address
KIDNEY DIALYSIS CENTER OF PISMO BEACH, LLC
PO BOX 940838
SIMI VALLEY, CA 93094-0838
Phone number: 805-433-7777