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Edisto Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Garden Grove, California
NPI 1619397700

Edisto Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Edisto Dialysis Llc practices in Garden Grove, CA. The NPI Number for Edisto Dialysis Llc is 1619397700 and holds a License No. 550002921 (California).

The current practice location address for Edisto Dialysis Llc is 13054 N Harbor Blvd, Garden Grove, CA and can be reached out via phone at 714-539-3395 and via fax at 714-539-3467.

Location: 13054 N Harbor Blvd, Garden Grove, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619397700
Provider Name
Edisto Dialysis Llc
Credential
Provider Entity Type
Organization
Address
13054 N Harbor Blvd, Garden Grove, CA, 37027-7569
Phone Number
714-539-3395
Fax Number
714-539-3467
Provider Enumeration Date
04/16/2014
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619397700 05 CA
institution
Provider Business Practice Location Address Details
Address
13054 N Harbor Blvd
City
Garden Grove
State
California
Zip
92843-1744
Phone Number
714-539-3395
Fax Number
714-539-3467
person
Provider Business Mailing Address Details
Address
13054 N Harbor Blvd
City
Garden Grove
State
California
Zip
92843-1744
Phone Number
714-539-3395
Fax Number
714-539-3467
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
550002921 (California)
Definition
Definition to come...
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