Organization
CINCO RIOS DIALYSIS LLC
Active
Other names
Sun City Menifee 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
1702 ILLINOIS AVE, PERRIS, CA 92571-9371
(951) 928-1369
(951) 928-2150
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
550002070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225302128
—
CA
Enumeration date
02/24/2012
Last updated
02/26/2026
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