Organization
USC-DAVITA DIALYSIS CENTER, LLC
Active
Other names
USC Korea Town Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3660 WILSHIRE BLVD STE 338, LOS ANGELES, CA 90010-2752
(213) 900-1416
(213) 900-1438
Mailing address
5200 VIRGINIA WAY, ATTN: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
03/31/2025
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