Kidney Dialysis Center of Pismo Beach, LLC
NPI #1518902758 in Pismo Beach, California
Provider Information
- NPI Number
- 1518902758
- Entity Type
- Organization
- Organization Name
- Kidney Dialysis Center of Pismo Beach, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Jul 30, 2007
Practice Location
- Address
- 320 JAMES WAY
- Address 2
- SUITE # 110
- City
- Pismo Beach
- State
- California
- ZIP Code
- 93449-2813
- Phone
- (805) 556-0577
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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