San Gabriel Regional Dialysis Training Center, LLC
NPI #1700858099 in Monterey Park, California
Provider Information
- NPI Number
- 1700858099
- Entity Type
- Organization
- Organization Name
- San Gabriel Regional Dialysis Training Center, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 2, 2006
- Last Updated
- May 29, 2008
Practice Location
- Address
- 809 S ATLANTIC BLVD
- Address 2
- 103
- City
- Monterey Park
- State
- California
- ZIP Code
- 91754-4756
- Phone
- (626) 576-8556
Authorized Official
- Name
- MR. JERRY GREEN
- Title
- SECRETARY
- Phone
- (562) 495-8075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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