Organization
TOTAL RENAL HEALTH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES JOHNSON (BUSINESS OFFICE MANAGER)
(562) 301-5306
Entity
Organization
Contact information
Practice address
1127 22ND STREET UNITC, SANTA MONICA, CA 90403
(562) 301-5306
Mailing address
PO BOX 42, LA HABRA, CA 90633-0042
(562) 301-5306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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