SATELLITE DIALYSIS OF CAPITOLA LLC NPI 1811968761

NPI Information

SATELLITE DIALYSIS OF CAPITOLA LLC is an end-stage renal disease (esrd) treatment clinic center in Capitola, CA. SATELLITE DIALYSIS OF CAPITOLA LLC NPI is 1811968761. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Capitola.

The provider's business location address is:

3801 CLARES ST
CAPITOLA, CA
ZIP 95010-537
Phone: (831) 600-4600
Fax: (831) 462-3401

The provider's authorized official is Bernadette Vincent .
The authorized official title is President/coo and has the following contact phone number (650) 404-3600.

The CLIA number assigned to this NPI record is 05D0877108 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/25/2023.

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:

Other Identifiers

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