institution
Rai Care Centers Of Southern California I, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Garden Grove, California
NPI 1891868519

Rai Care Centers Of Southern California I, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Garden Grove, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rai Care Centers Of Southern California I, Llc practices in Garden Grove, CA. The NPI Number for Rai Care Centers Of Southern California I, Llc is 1891868519 and holds a License No. (California).

The current practice location address for Rai Care Centers Of Southern California I, Llc is 12761 Harbor Blvd, Garden Grove, CA and can be reached out via phone at 714-539-3122 and via fax at 714-539-3922.

Location: 12761 Harbor Blvd, Garden Grove, CA, 92840-5800
institution
Provider Profile Details
NPI Number
1891868519
Provider Name
Rai Care Centers Of Southern California I, Llc
Credential
Provider Entity Type
Organization
Address
12761 Harbor Blvd, Garden Grove, CA, 92840-5800
Phone Number
714-539-3122
Fax Number
714-539-3922
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDC52527G 05 CA
ZZZR0210Z 01 CA BLUE SHIELD OF CALIFORNIA
552527 01 CA BLUE CROSS OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
12761 Harbor Blvd
City
State
Zip
92840-5800
Phone Number
714-539-3122
Fax Number
714-539-3922
person
Provider Business Mailing Address Details
Address
12761 Harbor Blvd
City
State
Zip
92840-5800
Phone Number
714-539-3122
Fax Number
714-539-3922
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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