institution
Modesto Kidney Center, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Modesto, California
NPI 1003887712

Modesto Kidney Center, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Long Beach, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Modesto Kidney Center, Inc. practices in Modesto, CA. The NPI Number for Modesto Kidney Center, Inc. is 1003887712 and holds a License No. (California).

The current practice location address for Modesto Kidney Center, Inc. is 305 E Granger Ave, Modesto, CA and can be reached out via phone at 209-574-6800 and via fax at 209-574-6808. You can also correspond with Modesto Kidney Center, Inc. through the mailing address at 1 WORLD TRADE CTR, LONG BEACH, CA - 90831-0002 (mailing address contact number: 562-495-8075).

Location: 305 E Granger Ave, Modesto, CA, 90831-0002
institution
Provider Profile Details
NPI Number
1003887712
Provider Name
Modesto Kidney Center, Inc.
Credential
Provider Entity Type
Organization
Address
305 E Granger Ave, Modesto, CA, 90831-0002
Phone Number
209-574-6800
Fax Number
209-574-6808
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CDC02783F 05 CA
institution
Provider Business Practice Location Address Details
Address
305 E Granger Ave
City
State
Zip
95350-4345
Phone Number
209-574-6800
Fax Number
209-574-6808
person
Provider Business Mailing Address Details
Address
1 World Trade Ctr
City
State
Zip
90831-0002
Phone Number
562-495-8075
Fax Number
562-495-8076
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(California)
Definition
Definition to come...
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