Organization
TOTAL RENAL CARE INC
Active
Other names
SAN QUENTIN PRISON PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARKE (ASSISTANT REGIONAL REVENUE MANAGER)
(949) 930-6874
Entity
Organization
Contact information
Practice address
1 MAIN ST, SAN QUENTIN, CA 94964-1000
(415) 444-0376
Mailing address
15253 BAKE PKWY, IRVINE, CA 92618-2502
(949) 930-4400
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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