FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
Ambulatory Health in Santa Ana, CA

License number
California 550001163
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: DR. GADSALLI RAMASWAMY RAVIKUMAR M.D.
Title: PRESIDENT/CEO
Phone: (714) 226-0818
Address
Address 2
17150 Euclid Ave SUITE 111, Santa Ana, CA 92708
3356 W Ball Rd SUITE 216, Anaheim, CA 92804
National Provider ID: 1265633747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC at bizstanding.com

Fountain Valley Regional Dialysis Center, LLC

3356 W Ball Rd, Anaheim, CA 92804

Industry:
Dialysis Services Kidney Services
Registration:
Jul 29, 2004
State ID:
200421510236
Business type:
Domestic
Member:
G. R. Ravikumar (Member)

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