Organization
SATELLITE DIALYSIS OF CAPITOLA LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Capitola
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
THOMAS L WEINBERG (CHAIRMAN)
(214) 736-2700
Entity
Organization
Contact information
Practice address
3801 CLARES ST, CAPITOLA, CA 95010-2537
(831) 600-4600
(831) 462-3401
Mailing address
300 SANTANA ROW, STE 300, SAN JOSE, CA 95128-2423
(831) 600-4600
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
140000635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140000635
STATE OF CALIFORNIA
CA
05
—
ZZR025551
—
CA
Enumeration date
01/30/2006
Last updated
05/15/2024
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