| NPI | 1972529527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE WU Administrator 818-657-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 052588) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-04-09 |