Organization · Type 2 NPI
Bullards Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cameron Park, CA
NPI number
1497030852
Active
Practice location
3311 Coach Ln, Ste C
Cameron Park, CA 95682-7247
Fax (530) 677-5190
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 110000457 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Cameron Park
About NPI 1497030852
Bullards Dialysis LLC's National Provider Identifier is 1497030852, issued on Oct 18, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cameron Park, CA. The record was last updated on Jun 9, 2026.