Organization
PALOMAR DIALYSIS LLC
Active
Other names
Livermore 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
3201 DOOLAN RD, STE 175, LIVERMORE, CA 94551-9610
(925) 245-9780
(925) 245-9785
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
5500001188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700029642
—
CA
Enumeration date
04/08/2009
Last updated
12/16/2025
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