EDISTO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Garden Grove, CA. EDISTO DIALYSIS LLC NPI is 1619397700. The provider is registered as an organization entity type.
The provider Is Doing Business As Garden Grove Harbor Dialysis.
The provider's business location address is:
13054 N HARBOR BLVD
GARDEN GROVE, CA
ZIP 92843-744
Phone: (714) 539-3395
Fax: (714) 539-3467
The provider's authorized official is John D. Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 05D2083877 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/16/2014 and was last updated on 3/25/2022.