Organization
SANTA FE SPRINGS DIALYSIS LLC
Active
Other names
Sta Fe Springs Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11147 WASHINGTON BLVD, WHITTIER, CA 90606-3007
(562) 695-0827
(562) 695-1132
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
550000685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619184199
—
CA
Enumeration date
05/16/2007
Last updated
09/13/2024
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