MEDICARE: RAPID URGENT CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1629875927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAPID URGENT CARE INC

Provider Business Mailing Address
First Line	:	10876 RIVERSIDE DR
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2236
Country	:	US
Telephone Number	:	818-812-5702
Fax Number	:

Provider Business Practice Location Address
First Line	:	10876 RIVERSIDE DR
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2236
Country	:	US
Telephone Number	:	818-812-5702
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HONHANNES KURGHINYAN
Credential	:	MD
Telephone Number	:	818-812-5702

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	04/04/2025

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