Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Tokay Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
312 S FAIRMONT AVE, STE A, LODI, CA 95240-3840
(209) 369-5418
(209) 369-5963
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295798338
—
CA
Enumeration date
04/10/2006
Last updated
09/12/2024
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