institution
Kidney Dialysis Center Of San Luis Obispo,llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Luis Obispo, California
NPI 1033151816

Kidney Dialysis Center Of San Luis Obispo,llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Simi Valley, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Kidney Dialysis Center Of San Luis Obispo,llc practices in San Luis Obispo, CA. The NPI Number for Kidney Dialysis Center Of San Luis Obispo,llc is 1033151816 and holds a License No. (California).

The current practice location address for Kidney Dialysis Center Of San Luis Obispo,llc is 1043 Marsh St, San Luis Obispo, CA and can be reached out via phone at 805-543-1013 and via fax at 805-543-5654.

Location: 1043 Marsh St, San Luis Obispo, CA, 93094-0838
institution
Provider Profile Details
NPI Number
1033151816
Provider Name
Kidney Dialysis Center Of San Luis Obispo,llc
Credential
Provider Entity Type
Organization
Address
1043 Marsh St, San Luis Obispo, CA, 93094-0838
Phone Number
805-543-1013
Fax Number
805-543-5654
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ02842Z 01 CA BLUE SHIELD
CDC02811G 05 CA
institution
Provider Business Practice Location Address Details
Address
1043 Marsh St
City
State
Zip
93401-3629
Phone Number
805-543-1013
Fax Number
805-543-5654
person
Provider Business Mailing Address Details
Address
1043 Marsh St
City
State
Zip
93401-3629
Phone Number
805-543-1013
Fax Number
805-543-5654
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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