Healthcare Provider Details
I. General information
NPI: 1730559899
Provider Name (Legal Business Name): U.S. HEALTHWORKS MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2015
Last Update Date: 09/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3430 GARFIELD AVE
COMMERCE CA
90040-3104
US
IV. Provider business mailing address
5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US
V. Phone/Fax
- Phone: 323-722-8481
- Fax:
- Phone:
- 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:
JOHN
ANDERSON
Title or Position: VP
Credential:
Phone: 972-364-8000