Organization
AT HOME DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUNDA JAHROMI (PARTNER)
(657) 500-8147
Entity
Organization
Contact information
Practice address
340 E COMMONWEALTH AVE, FULLERTON, CA 92832-2017
(657) 500-8147
Mailing address
340 E COMMONWEALTH AVE, FULLERTON, CA 92832-2017
(657) 500-8147
(866) 735-9057
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
03/15/2023
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