Healthcare Provider Details
I. General information
NPI: 1780299032
Provider Name (Legal Business Name): MOGO URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2020
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26135 CARMEL RANCHO BLVD STE B1
CARMEL CA
93923-8768
US
IV. Provider business mailing address
PO BOX HH
MONTEREY CA
93942-1085
US
V. Phone/Fax
- Phone: 831-625-4518
- Fax: 831-625-4948
- Phone: 831-625-4500
- Fax: 831-625-4948
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:
MATTHEW
THOMAS
MORGAN
Title or Position: VICE-PRESIDENT, CFO
Credential:
Phone: 831-625-4965