Organization
SPRINGPOND DIALYSIS LLC
Active
Other names
Gardena 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
1201 W 155TH ST, GARDENA, CA 90247-4096
(310) 538-6804
(310) 538-6836
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
—
—
Other
Enumeration date
05/14/2018
Last updated
10/07/2024
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