| NPI | 1659463602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR G CARABELLO Owner 323-497-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |