| NPI | 1841201738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA J MOHAN Owner/Medical Director 626-859-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 052726) |
| 261Q00000X Clinic/Center (Licence: CA 052854) | |
| 261Q00000X Clinic/Center (Licence: CA 552538) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-04-12 |