Organization
FRESENIUS MEDICAL CARE BALBOA, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
THE KIDNEY CENTER OF SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
JAMES JOSEPH DIVITO (VP)
(781) 699-9172
Entity
Organization
Contact information
Practice address
3939 RUFFIN RD STE 100, SAN DIEGO, CA 92123-1804
(858) 868-2675
(858) 285-7760
Mailing address
3939 RUFFIN RD STE 100, SAN DIEGO, CA 92123-1804
(858) 868-2675
(858) 285-7760
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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