| NPI | 1619432598 |
|---|---|
| Doing Business As | OUTPATIENT SERVICES - PERITONEAL DIALYSIS AT KAISER MORENO VALLEY CAPD |
| Entity Type | Organization |
| Authorized Contact | VITA WILLETT SVP And Area Manager 951-353-4601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2021-04-14 |