Olive Dialysis LLC
NPI #1184004137 in South Gate, California
Provider Information
- NPI Number
- 1184004137
- Entity Type
- Organization
- Organization Name
- Olive Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 4, 2015
- Last Updated
- Aug 14, 2024
Practice Location
- Address
- 9848 ATLANTIC AVE
- City
- South Gate
- State
- California
- ZIP Code
- 90280-5219
- Phone
- (323) 569-1035
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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