| NPI | 1770520488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABID HAMEED KHAN Medical Director 909-984-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-10-18 |