Organization
DALE DIALYSIS LLC
Active
Organization
DALE DIALYSIS LLC
Active
Other names
Warner Center 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
21040 CALIFA ST, STE A, WOODLAND HILLS, CA 91367-5103
(818) 715-9602
(818) 715-0042
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
550003916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730558750
—
CA
Enumeration date
09/21/2015
Last updated
09/23/2024
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