Organization
RENAL TREATMENT CENTERS-CALIFORNIA, INC
Active
Other names
Los Angeles Dialysis Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
10780 SANTA MONICA BLVD, STE 480, LOS ANGELES, CA 90025-4749
(310) 441-4558
(310) 470-6980
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC70047H
—
CA
Enumeration date
04/07/2006
Last updated
08/22/2020
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