Organization
DOVES DIALYSIS LLC
Active
Other names
Carmel Mountain Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 320-4468
Entity
Organization
Contact information
Practice address
9850 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129-2892
(858) 538-1083
(858) 538-6734
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
080000776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669788980
—
CA
Enumeration date
08/24/2010
Last updated
03/20/2024
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