Organization
INNOVATIVE DIALYSIS CENTERS OF LA JOLLA LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Chula Vista Home 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
2082 OTAY LAKES RD, SUITE A-1, CHULA VISTA, CA 91915-1367
(619) 482-8207
(619) 482-8512
Mailing address
1 WORLD TRADE CTR, STE 2500, LONG BEACH, CA 90831-0002
(562) 495-8075
(562) 495-8076
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
11/14/2013
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