Organization
LA QUINTA KIDNEY CENTER LLC
Active
Organization
LA QUINTA KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARENDRA S CHANDRASHEKAR M.D. (MEDICAL DIRECTOR)
(760) 347-0707
Entity
Organization
Contact information
Practice address
43576 WASHINGTON ST, STE 101, LA QUINTA, CA 92253-8565
(760) 200-1000
(760) 200-2600
Mailing address
43576 WASHINGTON ST, STE 101, LA QUINTA, CA 92253-8565
(760) 200-1000
(760) 200-2600
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001444
CA
Other
Enumeration date
10/29/2010
Last updated
03/30/2017
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