Organization
TOTAL RENAL CARE INC
Active
Other names
La Palma Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY AO (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7880 VALLEY VIEW ST, BUENA PARK, CA 90620-2353
(714) 670-6791
(714) 670-6817
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
080000679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508118977
—
CA
Enumeration date
10/10/2012
Last updated
09/29/2023
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