Organization
YUCAIPA DIALYSIS LLC
Active
Other names
Redlands 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
1722 ORANGE TREE LN, REDLANDS, CA 92374-2856
(909) 307-0686
(909) 307-9157
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6793
(877) 790-2174
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550000524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336319607
—
CA
Enumeration date
03/03/2008
Last updated
05/03/2022
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