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Organization

COMPREHENSIVE RENAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEONARD FRIE (PRESIDENT AND CEO)
(916) 630-8611
Entity
Organization

Contact information

Practice address
6000 FAIRWAY DR, #14, ROCKLIN, CA 95677-4244
(916) 630-8611
(916) 630-8665
Mailing address
6000 FAIRWAY DR, # 14, ROCKLIN, CA 95677-4244
(916) 630-8611
(916) 630-8665

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
05
CDC02765F
CA
01
ZZZ48312Z
INDEPENDENT RENAL FACILIT
CA
Enumeration date
11/10/2006
Last updated
08/22/2020
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