Organization
TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP
Active
Organization
TOTAL RENAL CARE EATON CANYON DIALYSIS CENTER PARTNERSHIP
Active
Other names
Eaton Canyon Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2551 E WASHINGTON BLVD, PASADENA, CA 91107-1446
(626) 798-8896
(626) 398-8279
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699735845
—
CA
Enumeration date
03/23/2006
Last updated
07/25/2018
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