| NPI | 1861901191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD M ASSOMULL Chairman 818-366-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-10-13 |