Fountain Valley Regional Dialysis Center Llc in Fountain Valley - End-stage Renal Disease (esrd) Treatment
Fountain Valley Regional Dialysis Center Llc - NPI 1265633747
Fountain Valley Regional Dialysis Center Llc is a End-stage Renal Disease (esrd) Treatment in Fountain Valley, California. Fountain Valley Regional Dialysis Center Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Fountain Valley Regional Dialysis Center Llc is 1265633747. The last update date is 2012-11-27.
Fountain Valley Regional Dialysis Center Llc's current location address is 17150 Euclid Avenue, Fountain Valley, California. You can contact this provider via phone number 7149661595 and fax number 7149661555. The mailing address for Fountain Valley Regional Dialysis Center Llc is 17150 Euclid Avenue, Fountain Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain Valley Regional Dialysis Center Llc |
|---|---|
| Address | 17150 Euclid Avenue, Fountain Valley, California |
| Phone Number | 7149661595 |
| Fax Number | 7149661555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ravikumar Ramaswamy Gadsalli |
| Credentials | M.D. |
| Telephone Number | 7142260818 |
NPI Number Detail
| NPI Number | 1265633747 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2012-11-27 |
Provider Mailing Address Detail
| Address | 17150 Euclid Avenue |
|---|---|
| City | Fountain Valley |
| State | California (CA) |
| Post Code | 927084092 |
| Phone Number | 7149661595 |
| Fax Number | 7149661555 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 550001163 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Fountain Valley Regional Dialysis Center Llc by the Centers for Medicare & Medicaid Services?
The Fountain Valley Regional Dialysis Center Llc has been issued the NPI (National Provider Identifier) 1265633747 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Fountain Valley Regional Dialysis Center Llc is physically located?
The Fountain Valley Regional Dialysis Center Llc is physically situated at the following address: 17150 Euclid Avenue, Fountain Valley, CA, 927084092.
What is Fountain Valley Regional Dialysis Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fountain Valley Regional Dialysis Center Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
On what date was the 1265633747 assigned to Fountain Valley Regional Dialysis Center Llc?
The Fountain Valley Regional Dialysis Center Llc was issued its 1265633747 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Fountain Valley Regional Dialysis Center Llc most recently updated or revised?
The details related to Fountain Valley Regional Dialysis Center Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-27.
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