NPI 1053383059
Guam Dialysis Center, INC.
Practice location
- Address
- 633 Governor Carlos B. Camacho Rd 106, Tamuning, GU 96913
- Phone
- (671) 646-3517
- Fax
- (671) 646-3531
- Mailing address
- 1 World Trade Ctr 2500, Long Beach, CA 90831-0002
Authorised official
- Name
- Jerry Green
- Title
- Secretary
- Phone
- (562) 495-8075
Registered specialties
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
Registry record
- NPI
- 1053383059
- Entity type
- Organization
- NPI issued
- 3 Feb 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.