Organization
NEWPORT SUPERIOR DIALYSIS, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
NEWPORT SUPERIOR DIALYSIS
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
510 SUPERIOR AVE STE 150, NEWPORT BEACH, CA 92663-3663
(949) 574-4733
(949) 574-4743
Mailing address
510 SUPERIOR AVE STE 150, NEWPORT BEACH, CA 92663-3663
(949) 574-4733
(949) 574-4743
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
552755
PTAN
CA
Enumeration date
03/27/2013
Last updated
10/18/2023
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