| NPI | 1790342897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARAG SHAH Medical Director 818-365-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-06-07 |