Organization
IKIDNEY DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARGARETTE GONZALES RN (FACILITY ADMINISTRATOR)
(619) 781-7337
Entity
Organization
Contact information
Practice address
4660 EL CAJON BLVD STE 110, SAN DIEGO, CA 92115-4465
(619) 781-7337
Mailing address
4660 EL CAJON BLVD STE 110, SAN DIEGO, CA 92115-4465
(619) 781-7337
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
08/26/2024
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