Healthcare Provider Details

I. General information

NPI: 1144974890
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4108 EDISON AVE STE 112
CHINO CA
91710-8418
US

IV. Provider business mailing address

4108 EDISON AVE STE 112
CHINO CA
91710-8418
US

V. Phone/Fax

Practice location:
  • Phone: 909-334-4545
  • Fax: 909-334-4552
Mailing address:
  • Phone: 909-334-4545
  • Fax: 909-334-4552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARTIN MASSIHI
Title or Position: OWNER
Credential: MD
Phone: 661-829-6747