Innovative Dialysis Centers of La Jolla LLC
NPI #1982954871 in Chula Vista, California
Provider Information
- NPI Number
- 1982954871
- Entity Type
- Organization
- Organization Name
- Innovative Dialysis Centers of La Jolla 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
- Sep 18, 2012
- Last Updated
- Nov 14, 2013
Practice Location
- Address
- 2082 OTAY LAKES RD
- Address 2
- SUITE A-1
- City
- Chula Vista
- State
- California
- ZIP Code
- 91915-1367
- Phone
- (619) 482-8207
Authorized Official
- Name
- THOMAS L. WEINBERG
- Title
- AUTHORIZED OFFICIAL
- Phone
- (214) 736-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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