Organization
HOME DIALYSIS THERAPIES OF SAN DIEGO
Active
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
2060 OTAY LAKES RD, SUITE 120, CHULA VISTA, CA 91915-1364
(619) 422-0003
(619) 422-0004
Mailing address
2060 OTAY LAKES RD, SUITE 120, CHULA VISTA, CA 91915-1364
(619) 422-0003
(619) 422-0004
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
—
CDC552546F
—
CA
Enumeration date
02/23/2007
Last updated
06/19/2013
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