Organization
TOTAL RENAL CARE INC
Active
Other names
CSATF 19 Prison Dialysis Program
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARKE (ARRM)
(949) 930-6874
Entity
Organization
Contact information
Practice address
2001 HIGH ST, SELMA, CA 93662-3512
(559) 992-7100
(559) 992-7299
Mailing address
15253 BAKE PARKWAY, IRVINE, CA 92618
(949) 930-6874
(866) 639-7505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
03/28/2014
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