Organization
RAI CARE CENTERS OF SOUTHERN CALIFORNIA I LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Fountain Valley Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MR. MARK R FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
17197 NEWHOPE ST, SUITE E, FOUNTAIN VALLEY, CA 92708-4228
(714) 751-1064
(714) 751-1098
Mailing address
17197 NEWHOPE ST, SUITE E, FOUNTAIN VALLEY, CA 92708-4228
(714) 751-1064
(714) 751-1098
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
05
—
1255635841
—
CA
Enumeration date
01/13/2011
Last updated
09/26/2012
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