institution
Wellbound Of Menlo Park Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fremont, California
NPI 1144292186

Wellbound Of Menlo Park Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Jose, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wellbound Of Menlo Park Llc practices in Fremont, CA. The NPI Number for Wellbound Of Menlo Park Llc is 1144292186 and holds a License No. (California).

The current practice location address for Wellbound Of Menlo Park Llc is 39510 Paseo Padre Pkwy, Fremont, CA and can be reached out via phone at 510-953-7800 and via fax at 510-739-3810. You can also correspond with Wellbound Of Menlo Park Llc through the mailing address at 300 SANTANA ROW, SAN JOSE, CA - 95128-2423 (mailing address contact number: 510-953-7800).

Location: 39510 Paseo Padre Pkwy, Fremont, CA, 95128-2423
institution
Provider Profile Details
NPI Number
1144292186
Provider Name
Wellbound Of Menlo Park Llc
Credential
Provider Entity Type
Organization
Address
39510 Paseo Padre Pkwy, Fremont, CA, 95128-2423
Phone Number
510-953-7800
Fax Number
510-739-3810
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CDC52514F 05 CA
05D1015752 01 CA CMS CLIA CERTIFICATE OF WAIVER
institution
Provider Business Practice Location Address Details
Address
39510 Paseo Padre Pkwy
City
State
Zip
94538-4707
Phone Number
510-953-7800
Fax Number
510-739-3810
person
Provider Business Mailing Address Details
Address
300 Santana Row
City
State
Zip
95128-2423
Phone Number
510-953-7800
Fax Number
650-625-6007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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