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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