OAKDALE KIDNEY CENTER LLC NPI 1265403976

NPI Information

OAKDALE KIDNEY CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Oakdale, CA. OAKDALE KIDNEY CENTER, LLC NPI is 1265403976. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Oakdale Dialysis.

The provider's business location address is:

1405 W F ST
STE B
OAKDALE, CA
ZIP 95361-573
Phone: (209) 848-5780
Fax: (209) 848-5789

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 05D0965022 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 11/14/2014.

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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