Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Imperial Care Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4345 E IMPERIAL HWY, LYNWOOD, CA 90262-2318
(310) 900-0333
(310) 900-0334
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930001010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700845278
—
CA
Enumeration date
03/22/2006
Last updated
02/14/2025
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