Healthcare Provider Details

I. General information

NPI: 1134889652
Provider Name (Legal Business Name): TUSTIN URGENT CARE, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11741 VALLEY VIEW ST UNIT A-C
CYPRESS CA
90630-5500
US

IV. Provider business mailing address

11741 VALLEY VIEW ST UNIT A-C
CYPRESS CA
90630-5500
US

V. Phone/Fax

Practice location:
  • Phone: 714-947-2660
  • Fax: 714-947-2661
Mailing address:
  • Phone: 714-947-2600
  • Fax: 714-947-2661

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: ZAID NOMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 949-548-8400