Organization
TOTAL RENAL CARE INC
Active
Other names
Delta Sierra Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7500 WEST LN, STOCKTON, CA 95210-3312
(209) 473-7472
(209) 477-5887
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
110000469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922069319
—
CA
Enumeration date
03/28/2006
Last updated
08/12/2024
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