Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1235198797 Active

Practice location

11854 S Wilmington Ave
Los Angeles, CA 90059-3016

Call (323) 567-5077 Map

Fax (323) 567-1490

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	930000941 (CA)

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

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NPI record

NPI: 1235198797
Entity type: Organization (Type 2)
Issued: Mar 22, 2006
Last updated: Jan 21, 2025
Status: Active

Other names

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Kenneth Hahn Plaza Dialysis Center · doing business as
Kenneth Hahn Plaza Dialysis Center · doing business as

Authorized official

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

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About NPI 1235198797

Total Renal Care Inc's National Provider Identifier is 1235198797, issued on Mar 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 21, 2025.