| NPI | 1619553419 |
|---|---|
| Doing Business As | SATELLITE HEALTHCARE OAKLAND WATERFRONT |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GOFFMAN CEO 669-236-5979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-23 |