Waddell Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Temecula, CA. Organization (NPI-2).
NPI number1861949331
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1861949331
- Entity type
- Organization (NPI-2)
- Legal business name
- Waddell Dialysis LLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2016
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Redhawk Dialysis (Doing Business As)
Practice location
44605 Avenida De Missiones Ste 100Temecula, CA 92592-5001
Phone 951-302-3675 · Fax 951-303-0716
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T. Wey
Vp Licensure & Certification
6153416641
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