Kidney Dialysis Center of San Luis Obispo,llc
NPI #1033151816 in San Luis Obispo, California
Provider Information
- NPI Number
- 1033151816
- Entity Type
- Organization
- Organization Name
- Kidney Dialysis Center of San Luis Obispo,llc
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Jan 7, 2008
Practice Location
- Address
- 1043 MARSH ST
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-3629
- Phone
- (805) 543-1013
Authorized Official
- Name
- MRS. LISA VIRAL UPPONI
- Title
- DIRECTOR OF ACCOUNTS RECEIVABLE
- Phone
- (805) 433-7506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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