Organization
TOTAL RENAL CARE INC.
Active
Other names
Atlantic PCH Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1090 ATLANTIC AVE, LONG BEACH, CA 90813-3403
(562) 432-8262
(562) 432-3257
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
07/16/2024
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