Rai-Harbor Blvd.-Garden Grove
LBN: Rai Care Centers Of Southern California I, Llc
Rai-Harbor Blvd.-Garden Grove is an health care organization with primary practice located at 12761 Harbor Blvd , Garden Grove CA 92840-5800. 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) 539-3122, or through Fawcett, Mark R. via phone (781) 699-9000.
Contact Information
Primary practice address
12761 Harbor Blvd
Garden Grove CA 92840-5800
Phone: (714) 539-3122
Fax: (714) 539-3922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1891868519 |
|---|---|
| LBN Legal business name | Rai Care Centers Of Southern California I, Llc |
| DBA Doing business as | Rai-Harbor Blvd.-Garden Grove |
| Authorized official | Fawcett, Mark R. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 27th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891868519 | NPPES |
| California | MEDICAID | CDC52527G | |
| California | Other | ZZZR0210Z | |
| California | Other | 552527 |
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