NPI | 1801158498 |
---|---|
Doing Business As | LAGUNA HILLS DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAM T WEY VP Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550002167) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2024-10-22 |