Organization
POKAGON DIALYSIS, LLC
Active
Other names
Bluff Rd Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
100 WASHINGTON BLVD, MONTEBELLO, CA 90640-6211
(323) 728-2984
(323) 726-6747
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
550002814
CA
Other
Enumeration date
03/27/2014
Last updated
04/28/2026
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