Organization
SAN MATEO DIALYSIS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED YEE HANG LUI MD (OWNER)
(650) 692-6302
Entity
Organization
Contact information
Practice address
1750 EL CAMINO REAL, 15, BURLINGAME, CA 94010-3208
(650) 692-6302
Mailing address
PO BOX 730, SAN MATEO, CA 94401-4022
(650) 341-0725
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G44819
CA
207RN0300X
Nephrology Physician
G60085
CA
Other
Enumeration date
11/13/2006
Last updated
11/14/2013
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