Organization
DIABLO DIALYSIS ACCESS CENTER A CA PROFESSIONAL MEDICAL CORP
Active
Other names
Diablo Dialysis Access Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAWN HUTTON (PRACTICE MANAGER)
(925) 686-0315
Entity
Organization
Contact information
Practice address
2222 EAST ST, STE 305, CONCORD, CA 94520-2084
(925) 686-1230
(925) 686-8443
Mailing address
2222 EAST ST, STE 305, CONCORD, CA 94520-2084
(925) 686-1230
(925) 686-8443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0105450
—
CA
Enumeration date
10/04/2006
Last updated
08/27/2015
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