| Davita Nephrology Medical Associates Of Ca, Inc. | |
|
Po Box File # 57025 Los Angeles CA 90074-0001 | |
| (303) 626-6000 | |
| Not Available |
| Full Name | Davita Nephrology Medical Associates Of Ca, Inc. |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | Po Box File # 57025, Los Angeles, California |
| Authorized Official Name and Position | Anthony Gabriel (PRESIDENT) |
| Authorized Official Contact | 3036266200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davita Nephrology Medical Associates Of Ca, Inc. 650 Empire St Fairfield CA 94533-5536 Ph: (707) 426-5407 | Davita Nephrology Medical Associates Of Ca, Inc. Po Box File # 57025 Los Angeles CA 90074-0001 Ph: (303) 626-6000 |
| NPI Number | 1255576831 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255576831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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