| NPI | 1912633207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEI W SHIH Assistant Administrator 626-318-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-04-18 |