Organization · Type 2 NPI

Terre Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Vernon, CA

NPI number 1104476175 Active

Practice location

1824 E Slauson Ave
Vernon, CA 90058-3829

Call (323) 364-0188 Map

Mailing address

5200 Virginia Way, Att: L&c Dept.
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1104476175
Entity type: Organization (Type 2)
Issued: Sep 12, 2019
Last updated: Jul 30, 2025
Status: Active

Other names

<unavail>
Universal Huntington Park Dialysis · doing business as
Universal Huntington Park Dialysis · doing business as

Authorized official

Mr. Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1104476175

Terre Dialysis LLC's National Provider Identifier is 1104476175, issued on Sep 12, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Vernon, CA. The record was last updated on Jul 30, 2025.