Organization
YUCAIPA DIALYSIS LLC
Active
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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