Rai-Broadway-Chula Vista
LBN: Rai Care Centers Of Southern California Ii, Llc
Rai-Broadway-Chula Vista is an health care organization with primary practice located at 1181 Broadway Suite 5, Chula Vista CA 91911-2749. 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 Ii, Llc can be contacted via phone (619) 585-0016, or through Sundock, Jon M via phone (615) 507-3307.
Contact Information
Primary practice address
1181 Broadway Suite 5
Chula Vista CA 91911-2749
Phone: (619) 585-0016
Fax: (619) 585-0410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1447324181 |
|---|---|
| LBN Legal business name | Rai Care Centers Of Southern California Ii, Llc |
| DBA Doing business as | Rai-Broadway-Chula Vista |
| Authorized official | Sundock, Jon M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Feb 10th, 2011 - about 14 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 | 1447324181 | NPPES |
| California | Other | 052835 | BLUE CROSS OF CALIFORNIA |
| California | MEDICAID | CDC02835G | BLUE CROSS OF CALIFORNIA |
| California | Other | ZZZR0214Z | BLUE CROSS OF CALIFORNIA |
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