SAN DIEGO DIALYSIS SERVICES INC. NPI 1508978305

NPI Information

SAN DIEGO DIALYSIS SERVICES, INC. is an end-stage renal disease (esrd) treatment clinic center in San Diego, CA. SAN DIEGO DIALYSIS SERVICES, INC. NPI is 1508978305. The provider is registered as an organization entity type.
The provider Is Doing Business As Fmc Dialysis Services Of Paradise.

The provider's business location address is:

6919 PARADISE VALLEY RD
SAN DIEGO, CA
ZIP 92139-225
Phone: (619) 475-2872
Fax: (619) 475-2842

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D1000667 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/14/2023.

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:

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