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NPI Code Detail

MEDICARE: WECARE DIALYSIS CENTER

MEDICARE: WECARE DIALYSIS CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1346860194
Entity Type Code : Organization
Provider Name (Legal Business Name) : WECARE DIALYSIS CENTER
Provider Business Mailing Address
First Line : 21218 RUNNING BRANCH RD
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-3746
Country : US
Telephone Number : 626-991-7651
Fax Number :
Provider Business Practice Location Address
First Line : 8591 GROVE AVE
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730
Country : US
Telephone Number : 626-991-7651
Fax Number :
Authorized Official
Title or Position : CEO
Name : YU HANG SHU
Credential :
Telephone Number : 626-991-7651
Provider Enumeration Date : 04/22/2020
Last Update Date : 04/22/2020

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Directions to “WECARE DIALYSIS CENTER ” Practice Location

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