Organization
TOTAL RENAL CARE INC
Active
Other names
San Gabriel Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
825 E BROADWAY, SAN GABRIEL, CA 91776-1901
(615) 341-5895
Mailing address
5200 VIRGINIA WAY, 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
Enumeration date
08/31/2017
Last updated
08/15/2022
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