Organization
LEAPSHORE DIALYSIS, LLC
Active
Other names
Maybrook 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
16417 WHITTIER BLVD, WHITTIER, CA 90603-3044
(562) 670-3839
(562) 359-2865
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
—
—
Other
Enumeration date
10/09/2023
Last updated
09/23/2025
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