Organization
TOTAL RENAL CARE INC
Active
Other names
Antioch Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3100 DELTA FAIR BLVD, ANTIOCH, CA 94509-4001
(925) 753-5000
(925) 753-5055
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
140000574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306805296
—
CA
Enumeration date
03/21/2006
Last updated
06/26/2023
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