MEDICARE: STUDIO CITY URGENT CARE & MEDICAL CENTER, 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	261Q00000X	Clinic/Center		CA

General Provider Information

NPI Number	:	1750491098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUDIO CITY URGENT CARE & MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE 110
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-761-1800
Fax Number	:	818-761-1811

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE 110
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-761-1800
Fax Number	:	818-761-1811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAZRICA M. CHO
Credential	:	M.D.
Telephone Number	:	818-761-1800

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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