Organization
SATELLITE DIALYSIS OF TRACY LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Tracy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization
Contact information
Practice address
2156 W GRANT LINE RD, SUITE 150, TRACY, CA 95377-7338
(209) 832-4899
(209) 832-4893
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(209) 832-4899
(650) 625-6007
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
05
—
1457510919
—
CA
01
—
550001187
STATE OF CALIFORNIA
CA
Enumeration date
06/09/2008
Last updated
05/02/2024
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