Rai-Newhope-Fountain Valley

LBN: Rai Care Centers Of Southern California I, Llc
Rai-Newhope-Fountain Valley is an health care organization with primary practice located at 17197 Newhope St Suite A-D, Fountain Valley CA 92708-4228. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Rai Care Centers Of Southern California I, Llc can be contacted via phone (714) 241-0196, or through Fawcett, Mark R. via phone (781) 699-9000.

Contact Information

Primary practice address
17197 Newhope St Suite A-D Fountain Valley CA 92708-4228
Phone: (714) 241-0196
Fax: (714) 241-1562
Website:
Map and Directions
Authorized official contact:
Name: Fawcett, Mark R.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1821161597
LBN Legal business name Rai Care Centers Of Southern California I, Llc
DBA Doing business as Rai-Newhope-Fountain Valley
Authorized official Fawcett, Mark R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Aug 8th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821161597 NPPES
California Other 052798 BLUE CROSS OF CALIFORNIA
California MEDICAID CDC02798G BLUE CROSS OF CALIFORNIA
California Other ZZZR0212Z BLUE CROSS OF CALIFORNIA

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