Organization
LLANO DIALYSIS LLC
Active
Other names
Vallejo 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
830 REDWOOD ST, VALLEJO, CA 94590-2942
(707) 642-2016
(707) 642-2023
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
110000434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265669444
—
CA
Enumeration date
06/16/2009
Last updated
12/19/2025
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