Organization
TOTAL RENAL CARE INC
Active
Other names
Westlake Daly City 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
2201 JUNIPERO SERRA BLVD STE A, DALY CITY, CA 94014-1908
(650) 755-9480
(650) 755-9485
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972741999
—
CA
Enumeration date
01/29/2009
Last updated
03/05/2025
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