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Organization

TOTAL RENAL CARE INC

Active
Other names
Kidney Dialysis Care Unit
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
3600 E MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-2607
(310) 886-5156
(310) 608-6947
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000083
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376502831
CA
Enumeration date
03/22/2006
Last updated
08/12/2024
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