Organization
TOTAL RENAL CARE INC
Active
Other names
Simi Valley 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
970 ENCHANTED WAY, SIMI VALLEY, CA 93065-0953
(805) 584-9621
(805) 584-9703
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
080000661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467781179
—
CA
Enumeration date
12/09/2009
Last updated
08/17/2021
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