Organization
TOTAL RENAL CARE INC
Active
Other names
Cerritos Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
19222 PIONEER BLVD, STE 101, CERRITOS, CA 90703-6603
(562) 924-9990
(562) 924-9955
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255681011
—
CA
Enumeration date
09/19/2012
Last updated
06/20/2023
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