Organization
SOLEDAD DIALYSIS CENTER LLC
Active
Other names
Soledad Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
901 LOS COCHES DR, SOLEDAD, CA 93960-2995
(831) 678-4310
(831) 678-4324
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
140000657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558324665
—
CA
Enumeration date
04/10/2006
Last updated
01/18/2024
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