Organization
TOTAL RENAL CARE INC
Active
Other names
WASCO PRISON DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARKE (ASSISTANT REGIONAL REVENUE MANAGER)
(949) 930-6874
Entity
Organization
Contact information
Practice address
701 SCOFIELD AVE, WASCO, CA 93280-7515
(661) 758-7668
Mailing address
15253 BAKE PKWY, IRVINE, CA 92618-2502
(949) 930-4400
(866) 639-7505
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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