Healthcare Provider Details

I. General information

NPI: 1992659924
Provider Name (Legal Business Name): SAN ANTONIO URGENT MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S LA BREA AVE
INGLEWOOD CA
90301-2321
US

IV. Provider business mailing address

409 S LA BREA AVE
INGLEWOOD CA
90301-2321
US

V. Phone/Fax

Practice location:
  • Phone: 310-650-3820
  • Fax:
Mailing address:
  • Phone: 310-650-3820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARLOS LUARCA
Title or Position: CEO
Credential: PA
Phone: 323-830-9648