Organization
COUER DIALYSIS LLC
Active
Other names
OCEANSIDE 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
4182 OCEANSIDE BLVD, OCEANSIDE, CA 92056-6003
(760) 941-8393
(760) 941-8430
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659822633
—
CA
Enumeration date
10/14/2016
Last updated
06/19/2025
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