Wellbound Of San Leandro Llc in San Jose - End-stage Renal Disease (esrd) Treatment

Wellbound Of San Leandro Llc - NPI 1093996738

Wellbound Of San Leandro Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Wellbound Of San Leandro Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Wellbound Of San Leandro Llc is 1093996738. The last update date is 2023-01-19.

Wellbound Of San Leandro Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 5103839602 and fax number 6506256007. The mailing address for Wellbound Of San Leandro Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wellbound Of San Leandro Llc
Address 300 Santana Row, San Jose, California
Phone Number 5103839602
Fax Number 6506256007
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Vincent Bernadette
Telephone Number 6504043600

NPI Number Detail

NPI Number 1093996738
Provider Enumeration Date 2007-11-23
Last Updated Date 2023-01-19

Provider Mailing Address Detail

Address 300 Santana Row
City San Jose
State California (CA)
Post Code 951282423
Phone Number 5103839602
Fax Number 6506256007

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1093996738 CA --

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FAQs about Wellbound Of San Leandro Llc

What is the unique 10-digit identification code issued to Wellbound Of San Leandro Llc by the Centers for Medicare & Medicaid Services?

The Wellbound Of San Leandro Llc has been assigned the NPI (National Provider Identifier) 1093996738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Wellbound Of San Leandro Llc's facilities are situated?

The facilities of Wellbound Of San Leandro Llc are physically located at the following address: 300 Santana Row, San Jose, CA, 951282423.

What is Wellbound Of San Leandro Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wellbound Of San Leandro Llc is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093996738 to Wellbound Of San Leandro Llc?

The Centers for Medicare & Medicaid Services assigned the 1093996738 to Wellbound Of San Leandro Llc on 2007-11-23.

When was the information regarding Wellbound Of San Leandro Llc most recently updated?

The details pertaining to the Wellbound Of San Leandro Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-01-19.

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