Provider Demographics
NPI:1578004149
Name:RAI CARE CENTERS OF LYNWOOD, LLC
Entity Type:Organization
Organization Name:RAI CARE CENTERS OF LYNWOOD, LLC
Other - Org Name:FRESENIUS KIDNEY CARE LYNWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:7700 IMPERIAL HWY STE R
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3466
Mailing Address - Country:US
Mailing Address - Phone:562-401-0155
Mailing Address - Fax:562-401-0166
Practice Address - Street 1:7700 IMPERIAL HWY STE R
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3466
Practice Address - Country:US
Practice Address - Phone:562-401-0155
Practice Address - Fax:562-401-0166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment