TOTAL RENAL CARE INC NPI 1154384121

NPI Information

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Long Beach, CA. TOTAL RENAL CARE INC NPI is 1154384121. The provider is registered as an organization entity type.
The provider Is Doing Business As United Dialysis Center.

The provider's business location address is:

3111 LONG BEACH BLVD
LONG BEACH, CA
ZIP 90807-015
Phone: (562) 426-5155
Fax: (562) 426-5007

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D0877114 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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