Organization
TOTAL RENAL CARE INC
Active
Other names
Hesperia Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
14135 MAIN ST, STE 501, HESPERIA, CA 92345-8097
(760) 947-7405
(760) 949-7925
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 381-4645
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952570541
—
CA
Enumeration date
02/27/2008
Last updated
05/05/2022
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