Organization
TOTAL RENAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY MEHREN RN (FACILITY ADMINISTRATOR)
(323) 268-2729
Entity
Organization
Contact information
Practice address
1936 E 1ST ST, LOS ANGELES, CA 90033-3413
(323) 268-2729
Mailing address
1936 E 1ST ST, LOS ANGELES, CA 90033-3413
(323) 268-2729
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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