Organization
QUEEN'S DIALYSIS UNIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIO H. GALLEGO M.D. (PRESIDENT)
(909) 542-2900
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE, SUITE 103, WEST COVINA, CA 91790-3937
(626) 337-4245
(626) 480-0761
Mailing address
1335 CYPRESS STREET, SUITE 207, SAN DIMAS, CA 91773-3537
(909) 542-2900
(909) 592-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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