MODESTO KIDNEY CENTER, LLC

MODESTO, CA
NPI1669657805
Entity TypeOrganization
Authorized ContactTHOMAS L. WEINBERG
Authorized Official
214-736-2700
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: CA  110000468)
Enumeration Date2008-01-07
Last Update Date2020-08-03
Business Address
MODESTO KIDNEY CENTER, LLC
305 E GRANGER AVE
MODESTO, CA 95350-4345
Phone number: 209-574-6800
Mailing Address
MODESTO KIDNEY CENTER, LLC
1 WORLD TRADE CTR STE 2500
LONG BEACH, CA 90831-0002
Phone number: 562-495-8075