Organization · Type 2 NPI

Fullerton Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fullerton, CA

NPI number 1891756276 Active

Practice location

3214 Yorba Linda Blvd
Fullerton, CA 92831-1707

Call (714) 577-6940 Map

Fax (714) 577-0530

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	550000051 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1891756276
Entity type: Organization (Type 2)
Issued: Mar 28, 2006
Last updated: Aug 12, 2024
Status: Active

Other names

<unavail>
Crossroads Dialysis · doing business as
Crossroads Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1891756276

Fullerton Dialysis Center LLC's National Provider Identifier is 1891756276, issued on Mar 28, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fullerton, CA. The record was last updated on Aug 12, 2024.