Fountain Valley Dialysis

LBN: Total Renal Care Inc
Fountain Valley Dialysis is an health care organization with primary practice located at 17150 Euclid St Ste 111, Fountain Valley CA 92708-4092. 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. Total Renal Care Inc can be contacted via phone (714) 966-1595, or through Winstel, John D. via phone (253) 733-4501.

Contact Information

Primary practice address
17150 Euclid St Ste 111 Fountain Valley CA 92708-4092
Phone: (714) 966-1595
Fax: (714) 966-1555
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D.
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 550001153 California

Profile Details

NPI number 1427307206
LBN Legal business name Total Renal Care Inc
DBA Doing business as Fountain Valley Dialysis
Authorized official Winstel, John D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2012
Last updated Feb 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427307206 NPPES
California MEDICAID 1427307206

Popular Providers