Organization
CAL KIDNEY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVJITINDER SIDHU MD (CHAIRMAN)
(209) 943-0851
Entity
Organization
Contact information
Practice address
1140 NORMAN DR STE 4, MANTECA, CA 95336-5900
(209) 943-0851
Mailing address
1140 NORMAN DR STE 4, MANTECA, CA 95336-5900
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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