Organization
RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - MISSION GORGE - SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
7007 MISSION GORGE RD, SAN DIEGO, CA 92120-2422
(619) 229-1070
(619) 265-0409
Mailing address
7007 MISSION GORGE RD, SAN DIEGO, CA 92120-2422
(619) 229-1070
(619) 265-0409
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052779
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC02779G
—
CA
01
—
ZZZR0220Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/17/2006
Last updated
10/17/2023
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