Organization
TOTAL RENAL CARE INC
Active
Other names
Sanger Sequoia 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
2517 JENSEN AVE, BLDG B, SANGER, CA 93657-2251
(559) 867-3852
(559) 876-3930
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
550001242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083840896
—
CA
Enumeration date
06/08/2009
Last updated
01/21/2025
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