FRESENIUS MEDICAL CARE MEMORIAL LLC NPI 1356892731

NPI Information

  • NPI: 1356892731
  • Provider Name: FRESENIUS MEDICAL CARE MEMORIAL, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: FRESENIUS KIDNEY CARE HUNTINGTON BEACH
  • CLIA Number: 05D2142173
  • Address: 17762 BEACH BLVD STE 120
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Phone: (714) 848-0021

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NPI Details

FRESENIUS MEDICAL CARE MEMORIAL, LLC is an end-stage renal disease (esrd) treatment clinic center in Huntington Beach, CA. FRESENIUS MEDICAL CARE MEMORIAL, LLC NPI is 1356892731. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Huntington Beach.

The provider's business location address is:

17762 BEACH BLVD STE 120
HUNTINGTON BEACH, CA
ZIP 92647-860
Phone: (714) 848-0021
Fax: (714) 848-0034

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D2142173 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentCALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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