Organization
ELDRIST DIALYSIS LLC
Active
Other names
Arcadia Oaks 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
721 W HUNTINGTON DR, ARCADIA, CA 91007-6734
(626) 294-9682
(626) 445-7455
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
550002947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174942312
—
CA
Enumeration date
04/15/2014
Last updated
04/24/2024
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