Organization · Type 2 NPI
Cvs-Shc Kidney Care Home Dialysis of Los Angeles LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · South Gate, CA
NPI number
1134740848
Active
Practice location
8716 Garfield Ave Ste 100
South Gate, CA 90280-3723
Fax (562) 928-9304
Mailing address
300 Santana Row Ste 300
San Jose, CA 95128-2424
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 1134740848
Cvs-Shc Kidney Care Home Dialysis of Los Angeles LLC's National Provider Identifier is 1134740848, issued on May 4, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in South Gate, CA. The record was last updated on May 4, 2020.