Organization
TOTAL RENAL CARE INC
Active
Other names
Los Gatos Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
14251 WINCHESTER BLVD, STE 100, LOS GATOS, CA 95032-1811
(408) 370-6756
(408) 370-6787
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
1538509161
—
CA
Enumeration date
06/27/2013
Last updated
08/13/2024
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