Organization
SATELLITE DIALYSIS OF ORANGE LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Orange
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
1518 W LA VETA AVE, ORANGE, CA 92868-4117
(714) 285-9675
(714) 285-9681
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(714) 285-9675
(650) 625-6008
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1085700
CLIA
—
05
—
1386822088
—
CA
01
—
550000808
CDPH
CA
Enumeration date
02/05/2008
Last updated
01/17/2023
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