KIDNEY CENTER OF THOUSAND OAKS NPI 1053356642

NPI Information

KIDNEY CENTER OF THOUSAND OAKS is an end-stage renal disease (esrd) treatment clinic center in Thousand Oaks, CA. KIDNEY CENTER OF THOUSAND OAKS NPI is 1053356642. The provider is registered as an organization entity type.

The provider's business location address is:

375 ROLLING OAKS DR
SUITE # 100
THOUSAND OAKS, CA
ZIP 91361-023
Phone: (805) 557-1036
Fax: (805) 557-1173

The provider's authorized official is Lisa Viral Upponi .
The authorized official title is Director Of Accounts Receivable and has the following contact phone number (805) 433-7506.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 1/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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