institution
Kidney Dialysis Center Of Pismo Beach, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pismo Beach, California
NPI 1518902758

Kidney Dialysis Center Of Pismo Beach, 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 Pismo Beach, Llc practices in Pismo Beach, CA. The NPI Number for Kidney Dialysis Center Of Pismo Beach, Llc is 1518902758 and holds a License No. (California).

The current practice location address for Kidney Dialysis Center Of Pismo Beach, Llc is 320 James Way, Pismo Beach, CA and can be reached out via phone at 805-556-0577 and via fax at 805-433-7655.

Location: 320 James Way, Pismo Beach, CA, 93094-0838
institution
Provider Profile Details
NPI Number
1518902758
Provider Name
Kidney Dialysis Center Of Pismo Beach, Llc
Credential
Provider Entity Type
Organization
Address
320 James Way, Pismo Beach, CA, 93094-0838
Phone Number
805-556-0577
Fax Number
805-433-7655
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDC52556 05 CA
institution
Provider Business Practice Location Address Details
Address
320 James Way
City
State
Zip
93449-2813
Phone Number
805-556-0577
Fax Number
805-433-7655
person
Provider Business Mailing Address Details
Address
320 James Way
City
State
Zip
93449-2813
Phone Number
805-556-0577
Fax Number
805-433-7655
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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