Organization
TOTAL RENAL CARE INC
Active
Other names
Covina Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1547 W GARVEY AVE N, WEST COVINA, CA 91790-2139
(626) 960-9405
(626) 960-2695
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
930000248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639130206
—
CA
Enumeration date
03/31/2006
Last updated
10/14/2025
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