institution
Rai Care Centers Of Southern California I, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fountain Valley, California
NPI 1821161597

Rai Care Centers Of Southern California I, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fountain Valley, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rai Care Centers Of Southern California I, Llc practices in Fountain Valley, CA. The NPI Number for Rai Care Centers Of Southern California I, Llc is 1821161597 and holds a License No. (California).

The current practice location address for Rai Care Centers Of Southern California I, Llc is 17197 Newhope St, Fountain Valley, CA and can be reached out via phone at 714-241-0196 and via fax at 714-241-1562.

Location: 17197 Newhope St, Fountain Valley, CA, 37067-4228
institution
Provider Profile Details
NPI Number
1821161597
Provider Name
Rai Care Centers Of Southern California I, Llc
Credential
Provider Entity Type
Organization
Address
17197 Newhope St, Fountain Valley, CA, 37067-4228
Phone Number
714-241-0196
Fax Number
714-241-1562
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
052798 01 CA BLUE CROSS OF CALIFORNIA
CDC02798G 05 CA
ZZZR0212Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
17197 Newhope St
City
State
Zip
92708-4228
Phone Number
714-241-0196
Fax Number
714-241-1562
person
Provider Business Mailing Address Details
Address
17197 Newhope St
City
State
Zip
92708-4228
Phone Number
714-241-0196
Fax Number
714-241-1562
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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