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TOTAL RENAL CARE INC NPI 1649541954


NPI Information

NPI: 1649541954
Provider Name: TOTAL RENAL CARE INC

Doing Business As: CARSON DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0925339

Address:
1309 E CARSON ST
CARSON, CA
ZIP 90745
Phone: (310) 513-1427
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Carson, CA. TOTAL RENAL CARE INC NPI is 1649541954. The provider is registered as an organization entity type.
The provider Is Doing Business As Carson Dialysis.

The provider's business location address is:

1309 E CARSON ST
CARSON, CA
ZIP 90745-631
Phone: (310) 513-1427
Fax: (310) 513-1581

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D0925339 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 6/30/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment930000902CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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