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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