COUNTY OF SAN JOAQUIN NPI 1235213463

NPI Information

NPI: 1235213463
Provider Name: COUNTY OF SAN JOAQUIN

Doing Business As: END STAGE RENAL DISEASE DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7783 SOUTH FREEDOM RD.
FRENCH CAMP, CA
ZIP 95231
Phone: (209) 468-6937
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COUNTY OF SAN JOAQUIN is an end-stage renal disease (esrd) treatment clinic center in French Camp, CA. COUNTY OF SAN JOAQUIN NPI is 1235213463. The provider is registered as an organization entity type.
The provider Is Doing Business As End Stage Renal Disease Dialysis Center.

The provider's business location address is:

7783 SOUTH FREEDOM RD.
FRENCH CAMP, CA
ZIP 95231
Phone: (209) 468-6937
Fax: (209) 468-7042

The provider's authorized official is Sheela Kapre .
The authorized official title is Chief Medical Officer and has the following contact phone number (209) 468-6600.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/24/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	030000087	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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