institution
Rai Care Centers Of Northern California I, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stockton, California
NPI 1669546990

Rai Care Centers Of Northern California I, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Stockton, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rai Care Centers Of Northern California I, Llc practices in Stockton, CA. The NPI Number for Rai Care Centers Of Northern California I, Llc is 1669546990 and holds a License No. (California).

The current practice location address for Rai Care Centers Of Northern California I, Llc is 545 E Cleveland St, Stockton, CA and can be reached out via phone at 209-943-0854 and via fax at 209-943-0536. You can also correspond with Rai Care Centers Of Northern California I, Llc through the mailing address at 545 E CLEVELAND ST, STOCKTON, CA - 95204-5531 (mailing address contact number: 209-943-0854).

Location: 545 E Cleveland St, Stockton, CA, 95204-5531
institution
Provider Profile Details
NPI Number
1669546990
Provider Name
Rai Care Centers Of Northern California I, Llc
Credential
Provider Entity Type
Organization
Address
545 E Cleveland St, Stockton, CA, 95204-5531
Phone Number
209-943-0854
Fax Number
209-943-0536
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZR0196Z 01 CA BLUE SHIELD OF CALIFORNIA
04 01 CA KAISER
052705 01 CA BLUE CROSS OF CALIFORNIA
1669546990 05 CA
CDC02705J 05 CA
institution
Provider Business Practice Location Address Details
Address
545 E Cleveland St
City
State
Zip
95204-5531
Phone Number
209-943-0854
Fax Number
209-943-0536
person
Provider Business Mailing Address Details
Address
545 E Cleveland St
City
State
Zip
95204-5531
Phone Number
209-943-0854
Fax Number
209-943-0536
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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