Innovative Dialysis Centers of La Jolla LLC
NPI #1992131395 in Chula Vista, California
Provider Information
- NPI Number
- 1992131395
- 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, 2013
- Last Updated
- Feb 2, 2015
Practice Location
- Address
- 2084 OTAY LAKES RD
- Address 2
- STE 101-A
- City
- Chula Vista
- State
- California
- ZIP Code
- 91915-1368
- Phone
- (619) 397-0262
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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