Organization
LLANO DIALYSIS LLC
Active
Organization
LLANO DIALYSIS LLC
Active
Other names
Oakland Peritoneal 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
5352 CLAREMONT AVE, OAKLAND, CA 94618-1035
(510) 597-0398
(510) 597-0385
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
—
1568699882
—
CA
Enumeration date
06/12/2009
Last updated
09/16/2024
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