Organization
CAMINO RENAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN DAVIS (PRESIDENT)
(949) 246-8581
Entity
Organization
Contact information
Practice address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-8000
Mailing address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-8000
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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