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Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA, INC
Active
Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA, INC
Active
Other names
Modesto Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E. GABRIEL MD (OWNER/PRESIDENT)
(310) 536-2615
Entity
Organization
Contact information
Practice address
1524 MCHENRY AVE, SUITE 310, MODESTO, CA 95350-4500
(209) 492-9301
(209) 492-9180
Mailing address
1832 CENTRE POINT CIR, SUITE 106, NAPERVILLE, IL 60563-1438
(630) 836-8724
(866) 594-9002
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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