Organization
LOMPOC ARTIFICIAL KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANA MURILLO (BILLING COORDINATOR)
(805) 563-0090
Entity
Organization
Contact information
Practice address
127 W PINE AVE, LOMPOC, CA 93436-4023
(805) 563-0090
(805) 563-2643
Mailing address
1704 STATE ST, SANTA BARBARA, CA 93101-2522
(805) 563-0090
(805) 563-2643
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
080000674
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02838F
—
CA
Enumeration date
02/22/2007
Last updated
09/21/2010
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