TOTAL RENAL CARE INC NPI 1508118977

NPI Information

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Buena Park, CA. TOTAL RENAL CARE INC NPI is 1508118977. The provider is registered as an organization entity type.
The provider Is Doing Business As La Palma Dialysis.

The provider's business location address is:

7880 VALLEY VIEW ST
BUENA PARK, CA
ZIP 90620-353
Phone: (714) 670-6791
Fax: (714) 670-6817

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

The CLIA number assigned to this NPI record is 05D0877116 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2012 and was last updated on 9/29/2023.

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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