Healthcare Provider Details

I. General information

NPI: 1396785168
Provider Name (Legal Business Name): MED-7 URGENT CARE CENTER MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4156 MANZANITA AVE SUITE 100
CARMICHAEL CA
95608-1726
US

IV. Provider business mailing address

PO BOX 619115
ROSEVILLE CA
95661-9115
US

V. Phone/Fax

Practice location:
  • Phone: 916-488-6337
  • Fax: 916-973-0158
Mailing address:
  • Phone: 916-791-1300
  • Fax: 916-483-3790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: JESSICA ODELL
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 916-791-1300