Organization
RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC
Active
Other names
RAI-El Camino Real-Oceanside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization
Contact information
Practice address
2227B S EL CAMINO REAL, OCEANSIDE, CA 92054-6318
(760) 757-1838
(760) 757-6693
Mailing address
1550 W. MCEWEN DRIVE, SUITE 500, FRANKLIN, TN 37067-1731
(615) 661-1100
(615) 507-3300
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
—
052834
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC02834G
—
CA
01
—
ZZZR0217Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/17/2006
Last updated
02/10/2011
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