Organization
IKIDNEY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N. LE M.D. (DIRECTOR)
(619) 521-6812
Entity
Organization
Contact information
Practice address
4440 EUCLID AVE, SUITE A, SAN DIEGO, CA 92115-4522
(619) 521-6812
(619) 521-6802
Mailing address
4440 EUCLID AVE, SUITE A, SAN DIEGO, CA 92115-4522
(619) 521-6812
(619) 521-6802
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A124891
CA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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