Organization
TOTAL RENAL CARE INC
Active
Other names
Cameron Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
3311 COACH LN, STE 3, CAMERON PARK, CA 95682-7247
(530) 677-5114
(530) 677-5190
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02691G
—
CA
Enumeration date
04/10/2006
Last updated
12/16/2010
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