Organization
SAN MARCOS DIALYSIS LLC
Active
Other names
San Marcos 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
2135 MONTIEL RD, BLDG B, SAN MARCOS, CA 92069-3511
(760) 975-0170
(760) 975-0177
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
550000991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255506036
—
CA
Enumeration date
04/23/2008
Last updated
11/13/2025
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