Organization · Type 2 NPI
Satellite Dialysis of South Stockton LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Stockton, CA
NPI number
1104190826
Active
Practice location
590 E Harding Wy
Stockton, CA 95204-6110
Fax (209) 462-2118
Mailing address
300 Santana Row, Suite 300
San Jose, CA 95128-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1104190826
Satellite Dialysis of South Stockton LLC's National Provider Identifier is 1104190826, issued on Feb 27, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Stockton, CA. The record was last updated on May 15, 2024.