Organization
NUEVO DIALYSIS LLC
Active
Organization
NUEVO DIALYSIS LLC
Active
Other names
Laguna Hills Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
25332 CABOT RD, LAGUNA HILLS, CA 92653-5506
(949) 380-1925
(949) 380-1746
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550002167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801158498
—
CA
Enumeration date
06/11/2012
Last updated
10/22/2024
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