Healthcare Provider Details
I. General information
NPI: 1871369553
Provider Name (Legal Business Name): RAPID RESPONSE URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2023
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17559 CHATSWORTH ST
GRANADA HILLS CA
91344-5720
US
IV. Provider business mailing address
17559 CHATSWORTH ST
GRANADA HILLS CA
91344-5720
US
V. Phone/Fax
- Phone: 818-923-5216
- Fax:
- Phone: 818-923-5216
- Fax: 818-923-6203
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 | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ARBI
AYVAZIAN
Title or Position: CEO
Credential: D.O.
Phone: 818-923-5216