Healthcare Provider Details

I. General information

NPI: 1780671693
Provider Name (Legal Business Name): RAPIDCARE WALK IN MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13385 FOLSOM BLVD #800
FOLSOM CA
95630-8322
US

IV. Provider business mailing address

13385 FOLSOM BLVD #800
FOLSOM CA
95630-8322
US

V. Phone/Fax

Practice location:
  • Phone: 916-673-1200
  • Fax: 916-673-1201
Mailing address:
  • Phone: 916-673-1200
  • Fax: 916-673-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberZZZ28279Z
License Number StateCA

VIII. Authorized Official

Name: ARA TAVITIAN
Title or Position: OWNER
Credential: M.D.
Phone: 916-673-1200