| NPI | 1962259127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETTE GONZALES Facility Administrator 619-781-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |