Organization · Type 2 NPI
Satellite San Mateo, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Mateo, CA
NPI number
1619754470
Active
Practice location
2000 S El Camino Real Fl 1
San Mateo, CA 94403-1805
Fax (650) 358-3903
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
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 1619754470
Satellite San Mateo, LLC's National Provider Identifier is 1619754470, issued on Sep 13, 2023. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Mateo, CA. The record was last updated on Sep 21, 2023.