Organization
CUDAHY PERITONEAL DIALYSIS CENTER
Active
Other names
Cudahy Peritoneal Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO A MARTINEZ MD (PRESIDENT)
(323) 749-5360
Entity
Organization
Contact information
Practice address
4566 FLORENCE AVE STE 3, CUDAHY, CA 90201-4346
(323) 749-5360
Mailing address
4566 FLORENCE AVE STE 3, CUDAHY, CA 90201-4346
(323) 749-5360
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
10/07/2020
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