Covina Dialysis Center

LBN: Total Renal Care Inc
Covina Dialysis Center is an health care organization with primary practice located at 1547 W Garvey Ave N , West Covina CA 91790-2139. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (626) 960-9405, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1547 W Garvey Ave N West Covina CA 91790-2139
Phone: (626) 960-9405
Fax: (626) 960-2695
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 930000248 California

Profile Details

NPI number 1639130206
LBN Legal business name Total Renal Care Inc
DBA Doing business as Covina Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
Last updated May 17th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639130206 NPPES
California MEDICAID 1639130206

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