| NPI | 1700858099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GREEN Secretary 562-495-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-05-29 |