Davita Nephrology Medical Associates of California, INC
NPI #1487699765 in Modesto, California
Provider Information
- NPI Number
- 1487699765
- Entity Type
- Organization
- Organization Name
- Davita Nephrology Medical Associates of California, INC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1524 MCHENRY AVE
- Address 2
- SUITE 310
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4500
- Phone
- (209) 492-9301
Authorized Official
- Name
- DR. ANTHONY E. GABRIEL, MD
- Title
- OWNER/PRESIDENT
- Phone
- (310) 536-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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