Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Long Beach Harbor UCLA
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1075 E PACIFIC COAST HWY, LONG BEACH, CA 90806-5089
(562) 599-1511
(562) 599-1922
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
550000444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215032404
—
CA
Enumeration date
09/13/2006
Last updated
02/26/2026
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