Organization Name: | FRESENIUS MEDICAL CARE ORANGE COUNTY, LLC |
NPI Number: | 1033575246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK R FAWCETT (TREASURER) |
Mailing Address: | 17197 Newhope St Ste E Fountain Valley |
State: | CA US |
Postal Code: | 927084228 |
Phone Number: | 7144350261 |
Fax Number: | 7142411562 |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |