Organization
BARNNY JEPP, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Grand Avenue Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
1400 S GRAND AVE, STE 105, LOS ANGELES, CA 90015-3048
(213) 867-1111
(213) 867-1117
Mailing address
PO BOX 749127, LOS ANGELES, CA 90074-9127
(562) 495-8075
(562) 495-8076
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930001008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC52526F
—
CA
Enumeration date
01/27/2006
Last updated
11/14/2014
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