Organization
HOME DIALYSIS THERAPIES OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BARNES RN (CEO)
(858) 549-3400
Entity
Organization
Contact information
Practice address
10672 WEXFORD ST, SUITE 250, SAN DIEGO, CA 92131-3969
(858) 549-3400
(858) 549-3405
Mailing address
10672 WEXFORD ST, SUITE 250, SAN DIEGO, CA 92131-3969
(858) 549-3400
(858) 549-3405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC52543F
—
CA
Enumeration date
02/23/2007
Last updated
08/03/2009
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