| NPI | 1881686053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE SUAREZ Supervisor 562-598-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000397) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |