Organization
SATELLITE DIALYSIS OF CENTRAL MERCED LLC
Active
Organization
SATELLITE DIALYSIS OF CENTRAL MERCED LLC
Active
Other names
Satellite Healthcare Central Merced
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization
Contact information
Practice address
66 W OLIVE AVE, MERCED, CA 95348-3134
(209) 600-4701
(650) 625-6007
Mailing address
300 SANTANA ROW STE 300, SAN JOSE, CA 95128-2424
(650) 404-3600
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366554
BUSINESS LICENSE
—
Enumeration date
05/14/2020
Last updated
05/02/2024
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