Organization
TOTAL RENAL CARE INC
Active
Other names
Crescent Heights Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8151 BEVERLY BLVD, LOS ANGELES, CA 90048-4514
(323) 655-6226
(323) 655-6512
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
930000934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164483533
—
CA
Enumeration date
03/28/2006
Last updated
07/29/2024
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