FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC

FOUNTAIN VALLEY, CA
NPI1265633747
Entity TypeOrganization
Authorized ContactGADSALLI RAMASWAMY RAVIKUMAR
President/CEO
714-226-0818
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: CA  550001163)
Enumeration Date2007-05-30
Last Update Date2012-11-27
Business Address
FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
17150 EUCLID AVENUE SUITE 111
FOUNTAIN VALLEY, CA 92708-4092
Phone number: 714-966-1595
Mailing Address
FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
3356 W BALL RD SUITE 216
ANAHEIM, CA 92804-3702
Phone number: 714-226-0818