Organization
TOTAL RENAL CARE INC
Active
Other names
Thousand Oaks Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
375 ROLLING OAKS DR STE 100, THOUSAND OAKS, CA 91361-1024
(805) 557-1036
(805) 557-1173
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 264-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295064905
—
CA
Enumeration date
12/09/2009
Last updated
08/28/2023
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