Organization
SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare West San Leandro
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization
Contact information
Practice address
2401 MERCED ST, SUITE 110, SAN LEANDRO, CA 94577-4228
(510) 746-3900
(510) 614-8460
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(510) 746-3900
(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
—
05D2051140
CMS CLIA CERTIFICATE OF WAIVER
CA
05
—
1205199460
—
CA
Enumeration date
06/21/2012
Last updated
05/15/2024
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