Healthcare Provider Details

I. General information

NPI: 1376177402
Provider Name (Legal Business Name): ARIA URGENT CARE ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S BEACH BLVD
ANAHEIM CA
92804-3102
US

IV. Provider business mailing address

27068 LA PAZ RD # 625
ALISO VIEJO CA
92656-3041
US

V. Phone/Fax

Practice location:
  • Phone: 949-280-8512
  • Fax:
Mailing address:
  • Phone: 949-280-8512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALIREZA SHOJA
Title or Position: PRESIDENT
Credential: MD
Phone: 949-280-8512