Home Dialysis Therapies Of San Diego in Chula Vista - End-stage Renal Disease (esrd) Treatment

Home Dialysis Therapies Of San Diego - NPI 1720114010

Home Dialysis Therapies Of San Diego is a End-stage Renal Disease (esrd) Treatment in Chula Vista, California. Home Dialysis Therapies Of San Diego practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Home Dialysis Therapies Of San Diego is 1720114010. The last update date is 2013-06-19.

Home Dialysis Therapies Of San Diego's current location address is 2060 Otay Lakes Rd, Chula Vista, California. You can contact this provider via phone number 6194220003 and fax number 6194220004. The mailing address for Home Dialysis Therapies Of San Diego is 2060 Otay Lakes Rd, Chula Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Home Dialysis Therapies Of San Diego
Address 2060 Otay Lakes Rd, Chula Vista, California
Phone Number 6194220003
Fax Number 6194220004
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Barnes Denise
Credentials RN
Telephone Number 8585493400

NPI Number Detail

NPI Number 1720114010
Provider Enumeration Date 2007-02-23
Last Updated Date 2013-06-19

Provider Mailing Address Detail

Address 2060 Otay Lakes Rd
City Chula Vista
State California (CA)
Post Code 919151364
Phone Number 6194220003
Fax Number 6194220004

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CDC552546F CA --

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FAQs about Home Dialysis Therapies Of San Diego

What is the unique identifier code issued to Home Dialysis Therapies Of San Diego by the Centers for Medicare & Medicaid Services?

The Home Dialysis Therapies Of San Diego has been assigned the NPI (National Provider Identifier) 1720114010. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Home Dialysis Therapies Of San Diego is physically located?

The Home Dialysis Therapies Of San Diego is situated at the following address: 2060 Otay Lakes Rd, Chula Vista, CA 919151364.

What is Home Dialysis Therapies Of San Diego's specialized field of practice, and what is the corresponding taxonomy classification code?

The Home Dialysis Therapies Of San Diego's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720114010 to Home Dialysis Therapies Of San Diego?

The Centers for Medicare & Medicaid Services originally issued the 1720114010 to Home Dialysis Therapies Of San Diego on 2007-02-23.

As of what date were the details related to Home Dialysis Therapies Of San Diego most recently updated or revised?

The information pertaining to Home Dialysis Therapies Of San Diego, including its address, specialty, and other relevant details, was last updated or revised on 2013-06-19.

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