Organization
KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC
Active
Organization
KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA VIRAL UPPONI (DIRECTOR OF ACCOUNTS RECEIVABLE)
(805) 433-7506
Entity
Organization
Contact information
Practice address
TEMPLETON MEDICAL PLAZA, SUITE # 103 ,LOS TABLOS AVE., TEMPLETON, CA 93465
(805) 433-7777
(805) 433-7655
Mailing address
PO BOX 940838, SIMI VALLEY, CA 93094-0838
(805) 433-7777
(805) 433-7655
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC52567F
—
CA
Enumeration date
06/18/2006
Last updated
01/07/2008
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