Provider Demographics
NPI:1760677652
Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
Other - Org Name:FRESENIUS MEDICAL CARE NORWALK EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:13063 ROSECRANS AVE
Mailing Address - Street 2:BLDG. 1
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-4930
Mailing Address - Country:US
Mailing Address - Phone:562-432-4444
Mailing Address - Fax:
Practice Address - Street 1:13063 ROSECRANS AVE
Practice Address - Street 2:BLDG. 1
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-4930
Practice Address - Country:US
Practice Address - Phone:562-432-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA552641Medicare Oscar/Certification