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Organization

DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNIA, INC

Active
Other names
Modesto Kidney Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY E. GABRIEL MD (OWNER/PRESIDENT)
(310) 536-2615
Entity
Organization

Contact information

Practice address
1524 MCHENRY AVE, SUITE 310, MODESTO, CA 95350-4500
(209) 492-9301
(209) 492-9180
Mailing address
1832 CENTRE POINT CIR, SUITE 106, NAPERVILLE, IL 60563-1438
(630) 836-8724
(866) 594-9002

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
06/19/2006
Last updated
08/22/2020
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