Organization
SOUTH COUNTY DIALYSIS
Active
Organization
SOUTH COUNTY DIALYSIS
Active
Other names
Satellite Healthcare Gilroy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L WEINBERG (AUTHORIZED OFFICIAL, PRESIDENT & CH)
(214) 736-2700
Entity
Organization
Contact information
Practice address
8095 CAMINO ARROYO STE 100, GILROY, CA 95020-7304
(408) 848-5410
(408) 848-5435
Mailing address
5851 LEGACY CIR STE 900, PLANO, TX 75024-5982
(214) 736-2700
(214) 975-2435
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
140000645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000645
STATE OF CALIFORNIA
CA
Enumeration date
01/30/2006
Last updated
05/15/2024
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