Organization · Type 2 NPI

Modesto Kidney Center, LLC

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

NPI number 1669657805 Active

Practice location

305 E Granger Ave Ste 102
Modesto, CA 95350-4344

Call (209) 574-6800 Map

Mailing address

PO Box 251549
Plano, TX 75025-1500

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X110000468 (CA)

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

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About NPI 1669657805

Modesto Kidney Center, LLC's National Provider Identifier is 1669657805, issued on Jan 7, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Modesto, CA. The record was last updated on Apr 24, 2025.