Pacific Kidney Care Corp
Internal Medicine, Nephrology in Freedom, CA. Organization (NPI-2).
NPI number1063014686
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1063014686
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Kidney Care Corp
- Organization subpart
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
243 Green Valley Rd Ste AFreedom, CA 95019-3133
Phone 702-672-1141
Mailing address
243 Green Valley Rd Ste AFreedom, CA 95019-3133
Phone 702-672-1141
Authorized official
Taurino Nunez Avelar
Physician Owner
7026721141
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