Healthcare Provider Details

I. General information

NPI: 1871412734
Provider Name (Legal Business Name): ABCD PRIMARY AND URGENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7291 BOULDER AVE STE C
HIGHLAND CA
92346-6901
US

IV. Provider business mailing address

15572 N PEAK LN
FONTANA CA
92336-4564
US

V. Phone/Fax

Practice location:
  • Phone: 909-788-6777
  • Fax: 626-737-7339
Mailing address:
  • Phone: 909-788-6777
  • Fax: 626-737-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GOSPHA GORDON CAMPBELL
Title or Position: MD/CEO
Credential: MD
Phone: 323-821-2204