Organization
PENINSULA DIALYSIS ACCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA M JANSEN (CEO)
(714) 404-6855
Entity
Organization
Contact information
Practice address
91 WESTBOROUGH BLVD, STE. 2010, SOUTH SAN FRANCISCO, CA 94080-3162
(650) 871-2449
Mailing address
864 S WOODLAND ST, ORANGE, CA 92869-5229
(714) 404-6855
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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