Central Coast Kidney Disease Center Inc.

NPI #1033141254 in Santa Maria, California

Provider Information

NPI Number
1033141254
Entity Type
Organization
Organization Name
Central Coast Kidney Disease Center Inc.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 7, 2006
Last Updated
Dec 7, 2011

Practice Location

Address
2263 S. DEPOT RD.
ZIP Code
93455
Phone
(805) 349-8600

Authorized Official

Name
MR. MUTHIYALIAH BABU, M.D.
Title
ADMINISTRATOR
Phone
(805) 349-0198

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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