Organization
TOTAL RENAL CARE INC
Active
Other names
Los Nietos Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR DIRECTOR LICENSURE&CERTFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10012 NORWALK BLVD, STE 190, SANTA FE SPRINGS, CA 90670-3345
(562) 903-8281
(562) 903-8289
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
930000659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609128024
—
CA
Enumeration date
10/09/2012
Last updated
08/16/2023
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