| NPI | 1598197055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY MEHREN Facility Administrator 323-268-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |