Organization
LLANO DIALYSIS LLC
Active
Other names
San Pablo Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
14020 SAN PABLO AVE, SAN PABLO, CA 94806-3604
(510) 234-0835
(510) 234-3854
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
140000209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790912970
—
CA
Enumeration date
06/16/2009
Last updated
08/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us