# DIALYSIS ACCESS CENTER A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760923445
- **Authorized official:** BRETT WILEY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (510) 251-1002

## Contact information

- **Practice address:** 3012 SUMMIT ST, D WING, OAKLAND, CA 94609-3480
- **Practice address phone:** (510) 251-1002
- **Mailing address:** PO BOX 883528, LOS ANGELES, CA 90088-3528
- **Mailing address phone:** (510) 251-1002
- **Mailing address fax:** (510) 251-1034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 09/29/2026
