| NPI | 1770308041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEODULO CRUZ BONZON Managing Member 818-846-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |