Organization
TOTAL RENAL CARE INC
Active
Other names
Antelope Valley 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
1759 W AVENUE J, STE 102, LANCASTER, CA 93534-2703
(661) 942-6400
(661) 729-3985
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
930000210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083898001
—
CA
Enumeration date
12/27/2007
Last updated
09/25/2025
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