Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Hemet Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
1330 S STATE ST, STE B, SAN JACINTO, CA 92583-4916
(951) 654-1066
(951) 654-3596
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC70046H
—
CA
Enumeration date
03/22/2006
Last updated
07/23/2007
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