Healthcare Provider Details
I. General information
NPI: 1982301537
Provider Name (Legal Business Name): THE FAST URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2023
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1160 E IMPERIAL HWY STE A
BREA CA
92821-5713
US
IV. Provider business mailing address
1160 E IMPERIAL HWY STE A
BREA CA
92821-5713
US
V. Phone/Fax
- Phone: 714-423-4223
- Fax:
- Phone: 714-784-6263
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARFAN
AZEEM
Title or Position: EMPLOYEE
Credential: MD
Phone: 714-784-6263