Kidney Dialysis Center Of San Luis Obispo,Llc in San Luis Obispo - End-stage Renal Disease (esrd) Treatment

Kidney Dialysis Center Of San Luis Obispo,Llc - NPI 1033151816

Kidney Dialysis Center Of San Luis Obispo,Llc is a End-stage Renal Disease (esrd) Treatment in San Luis Obispo, California. Kidney Dialysis Center Of San Luis Obispo,Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Dialysis Center Of San Luis Obispo,Llc is 1033151816. The last update date is 2008-01-07.

Kidney Dialysis Center Of San Luis Obispo,Llc's current location address is 1043 Marsh St, San Luis Obispo, California. You can contact this provider via phone number 8055431013 and fax number 8055435654. The mailing address for Kidney Dialysis Center Of San Luis Obispo,Llc is 1043 Marsh St, San Luis Obispo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kidney Dialysis Center Of San Luis Obispo,Llc
Address 1043 Marsh St, San Luis Obispo, California
Phone Number 8055431013
Fax Number 8055435654
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Upponi Viral Lisa
Telephone Number 8054337506

NPI Number Detail

NPI Number 1033151816
Provider Enumeration Date 2006-06-13
Last Updated Date 2008-01-07

Provider Mailing Address Detail

Address 1043 Marsh St
City San Luis Obispo
State California (CA)
Post Code 934013629
Phone Number 8055431013
Fax Number 8055435654

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
ZZZ02842Z CA BLUE SHIELD
CDC02811G CA --

Post Comment/ Review Below

FAQs about Kidney Dialysis Center Of San Luis Obispo,Llc

What is the unique 10-digit identification code issued to Kidney Dialysis Center Of San Luis Obispo,Llc by the Centers for Medicare & Medicaid Services?

The Kidney Dialysis Center Of San Luis Obispo,Llc has been assigned the NPI (National Provider Identifier) 1033151816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Kidney Dialysis Center Of San Luis Obispo,Llc is located?

The Kidney Dialysis Center Of San Luis Obispo,Llc is situated at the following address: 1043 Marsh St, San Luis Obispo, CA, 934013629.

What is Kidney Dialysis Center Of San Luis Obispo,Llc's area of expertise and its corresponding taxonomy classification?

The Kidney Dialysis Center Of San Luis Obispo,Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1033151816 to Kidney Dialysis Center Of San Luis Obispo,Llc?

The Centers for Medicare & Medicaid Services assigned the 1033151816 to Kidney Dialysis Center Of San Luis Obispo,Llc on 2006-06-13.

When was the Kidney Dialysis Center Of San Luis Obispo,Llc's information last updated?

The Kidney Dialysis Center Of San Luis Obispo,Llc's information was last updated on 2008-01-07.

Other Providers of End-stage Renal Disease (esrd) Treatment
Warren D. Kuipers

NPI Number: 1578566626

Address: 2929 E Thomas Rd, Phoenix, AZ

Mark Terry Rothstein

NPI Number: 1932102985

Address: 5450 Frantz Rd Ste 360, Dublin, OH

Wendy Tipton Oberdick

NPI Number: 1659374601

Address: Po Box 9, Kingsport, TN

Timothy John Wolter

NPI Number: 1871596825

Address: 716 West Columbia Street, Chippewa Falls, WI

Lee Ann Van Houten-saut

NPI Number: 1508869553

Address: 220 Pine St, Williamstown, NJ

Steven Michael Lowry

NPI Number: 1285637223

Address: 220 Pine St, Williamstown, NJ

Julie A Perrigin

NPI Number: 1750384780

Address: Po Box 778, Dickson, TN

Evan C Allen

NPI Number: 1710980743

Address: 1701n Green Valley Pkwy 5c, Henderson, NV

Tracey Roesing

NPI Number: 1134122286

Address: 500 Old York Road, Jenkintown, PA

Robert Sutton Lea

NPI Number: 1861495913

Address: Po Box 19070, Green Bay, WI

Thomas J Laclair

NPI Number: 1003819053

Address: 1001 W Fayette St, Syracuse, NY

Pedro Esmeralda Estorque

NPI Number: 1548263593

Address: 500 Fort Worth Dr Ste 140, Denton, TX

John Philip Ortman

NPI Number: 1710980768

Address: 75 Hospital Dr, Athens, OH

James John Hollandsworth

NPI Number: 1205839248

Address: 1275 Dick Lonas Rd Unit 101, Knoxville, TN

Krishna M Ragothaman

NPI Number: 1295738235

Address: 128 N Locust St, Oak Harbor, OH