Rai - Juniper Ave - Fontana

LBN: Rai Care Centers Of Southern California Ii, Llc
Rai - Juniper Ave - Fontana is an health care organization with primary practice located at 10557 Juniper Ave Ste A , Fontana CA 92337-7589. 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 (909) 854-4336, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
10557 Juniper Ave Ste A Fontana CA 92337-7589
Phone: (909) 854-4336
Fax: (909) 574-1582
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

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

Profile Details

NPI number 1447429568
LBN Legal business name Rai Care Centers Of Southern California Ii, Llc
DBA Doing business as Rai - Juniper Ave - Fontana
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Aug 17th, 2021 - about 3 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 1447429568 NPPES
California MEDICAID 1447429568

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