| NPI | 1649855297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY TARASOV Member/Manager 310-467-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-04-17 |