Healthcare Provider Details
I. General information
NPI: 1689963845
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2011
Last Update Date: 07/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US
IV. Provider business mailing address
9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US
V. Phone/Fax
- Phone: 661-829-6747
- Fax:
- Phone: 661-829-6747
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | 2OA9426 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | A93181 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
ARTIN
MASSIHI
Title or Position: PHYSICIAN
Credential: MD
Phone: 661-829-6747