Organization
TOTAL RENAL CARE INC
Active
Other names
Firestone Blvd 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
11913 FIRESTONE BLVD, NORWALK, CA 90650-2904
(562) 863-2127
(562) 863-3052
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
550002322
CA
Other
Enumeration date
11/15/2012
Last updated
06/07/2024
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