NPI | 1679995948 |
---|---|
Doing Business As | NEWPORT IRVINE DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T. WEY VP, Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550003126) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2024-04-24 |