| NPI | 1962050757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNDA JAHROMI Partner 818-457-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-07-28 |