| NPI | 1841834587 |
|---|---|
| Former Legal Business Name | FOOTHILL DIALYSIS ACCESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY P BUI Physician Owner 909-982-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2022-11-02 |