Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Ontario Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1950 S GROVE AVE, STE 101-105, ONTARIO, CA 91761-5693
(909) 930-5566
(909) 930-5690
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
550000080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922333764
—
CA
Enumeration date
10/13/2009
Last updated
09/20/2023
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