Organization
RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - EAST OLYMPIC - LOS ANGELES
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
5714 E OLYMPIC BLVD, COMMERCE, CA 90022-5115
(323) 887-0841
(323) 887-8772
Mailing address
5714 E OLYMPIC BLVD, COMMERCE, CA 90022-5115
(323) 887-0841
(323) 887-8772
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
—
052683
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC02683H
—
CA
01
—
ZZZR0208Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/17/2006
Last updated
10/17/2023
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