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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