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Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA, INC.
Active
Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GABRIEL (PRESIDENT)
(303) 626-6200
Entity
Organization
Contact information
Practice address
PO BOX FILE # 57025, LOS ANGELES, CA 90074-0001
(303) 626-6000
Mailing address
650 EMPIRE ST, FAIRFIELD, CA 94533-5536
(707) 426-5407
(707) 426-6376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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