| NPI | 1851654552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMBUR ERIAH CHANDRASHEKAR Administrator 760-347-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2014-02-20 |