Organization
DIALYSIS ACCESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER K KHAKMAHD MD (MEDICAL DIRECTOR)
(510) 251-1002
Entity
Organization
Contact information
Practice address
3012 SUMMIT ST, D WING, OAKLAND, CA 94609-3480
(510) 251-1002
(510) 251-1034
Mailing address
3012 SUMMIT ST, D WING, OAKLAND, CA 94609-3480
(510) 251-1002
(510) 251-1034
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01612F
—
CA
Enumeration date
11/20/2006
Last updated
08/22/2020
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