Organization · Type 2 NPI
Fountain Valley Regional Dialysis Center LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fountain Valley, CA
NPI number
1265633747
Active
Practice location
17150 Euclid Avenue, Suite 111
Fountain Valley, CA 92708-4092
Fax (714) 966-1555
Mailing address
3356 W Ball Rd, Suite 216
Anaheim, CA 92804-3702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 550001163 (CA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1265633747
Fountain Valley Regional Dialysis Center LLC's National Provider Identifier is 1265633747, issued on May 30, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fountain Valley, CA. The record was last updated on Nov 27, 2012.