Organization · Type 2 NPI
Satellite Santa Teresa, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Jose, CA
NPI number
1861279622
Active
Practice location
7019 Realm Dr
San Jose, CA 95119-1321
Fax (408) 229-1144
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 1861279622
Satellite Santa Teresa, LLC's National Provider Identifier is 1861279622, 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 Jose, CA. The record was last updated on Sep 13, 2023.