Healthcare Provider Details
I. General information
NPI: 1982900213
Provider Name (Legal Business Name): CALIFORNIA URGENT CARE CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2011
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 N ROBERTSON BLVD STE 108
BEVERLY HILLS CA
90211-1795
US
IV. Provider business mailing address
250 N ROBERTSON BLVD STE 108
BEVERLY HILLS CA
90211-1795
US
V. Phone/Fax
- Phone: 310-271-8300
- Fax:
- Phone: 310-273-8100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
ZAKS
Title or Position: PRESIDENT
Credential: MD
Phone: 310-271-8300