Organization
SAN FERNANDO WEST KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE WU (ADMINISTRATOR)
(818) 657-0213
Entity
Organization
Contact information
Practice address
7230 MEDICAL CTR, SUITE# 101-102, WEST HILLS, CA 91307-1907
(818) 657-0213
(818) 657-0131
Mailing address
7230 MEDICAL CENTER DR, SUITE # 205, WEST HILLS, CA 91307-1907
(818) 657-0213
(818) 657-0131
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
052588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC70036G
—
CA
Enumeration date
07/15/2006
Last updated
04/09/2015
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