| NPI | 1770843633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEI MING AKA MARY WANG SHIH Administration 626-318-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-05-02 |