Organization · Type 2 NPI

South Fork Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fresno, CA

NPI number 1659647808 Active

Practice location

560 E Herndon Ave, Ste 101
Fresno, CA 93720-2907

Call (559) 432-5278 Map

Fax (559) 435-1422

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X550002083 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

4 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Fresno

See all in Fresno →

About NPI 1659647808

South Fork Dialysis LLC's National Provider Identifier is 1659647808, issued on Mar 31, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fresno, CA. The record was last updated on Feb 17, 2022.