Innovative Dialysis of Patterson LLC

NPI #1942629977 in Patterson, California

Provider Information

NPI Number
1942629977
Entity Type
Organization
Organization Name
Innovative Dialysis of Patterson LLC
Subpart
Yes (part of a larger organization)
Parent Organization
U.S. RENAL CARE, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 7, 2014
Last Updated
Mar 27, 2015

Practice Location

Address
1700 KEYSTONE PACIFIC PKWY
Address 2
SUITE A-1
ZIP Code
95363-8874
Phone
(209) 690-3768

Authorized Official

Name
THOMAS L. WEINBERG
Title
SVP/GENERA COUNSEL
Phone
(214) 736-2700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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