Organization
300 S ROBERTSON DIALYSIS, LLC
Active
Organization
300 S ROBERTSON DIALYSIS, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Westside Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
300 S ROBERTSON BLVD, LOS ANGELES, CA 90048-3806
(310) 385-8683
(310) 385-0516
Mailing address
PO BOX 749124, LOS ANGELES, CA 90074-9124
(562) 495-8075
(562) 495-8076
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930000915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02837G
—
CA
Enumeration date
01/27/2006
Last updated
11/14/2014
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