Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF CALIFORNA INC
Active
Other names
DaVita Renal Specialists of California Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY EFTHIM GABRIEL MD (OWNER PRESIDENT SECRETARY TREASURER)
(800) 310-4872
Entity
Organization
Contact information
Practice address
15141 E WHITTIER BLVD, STE 225, WHITTIER, CA 90603
(562) 698-3536
(562) 698-3945
Mailing address
PO BOX 2355, TACOMA, WA 98401
(800) 310-4872
(877) 328-4923
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093980
—
CA
Enumeration date
04/14/2006
Last updated
08/22/2020
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