Organization
TOTAL RENAL CARE INC
Active
Other names
Doctors Dialysis Center of Montebello
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(615) 320-4435
Entity
Organization
Contact information
Practice address
1721 W WHITTIER BLVD, MONTEBELLO, CA 90640-4004
(323) 722-1116
(323) 722-5501
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02785G
—
CA
Enumeration date
03/28/2006
Last updated
12/04/2007
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