Organization
WATKINS DIALYSIS LLC
Active
Other names
San Bruno Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
841 SAN BRUNO AVE W, SAN BRUNO, CA 94066-3443
(650) 794-1138
(650) 794-1125
Mailing address
5200 VIRGINIA WAY, ATT: 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
Enumeration date
08/07/2018
Last updated
04/15/2025
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