Healthcare Provider Details

I. General information

NPI: 1740120377
Provider Name (Legal Business Name): URGENT INJURY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PINE AVE STE 701
LONG BEACH CA
90802-2311
US

IV. Provider business mailing address

320 PINE AVE STE 701
LONG BEACH CA
90802-2311
US

V. Phone/Fax

Practice location:
  • Phone: 833-649-4644
  • Fax:
Mailing address:
  • Phone: 833-649-4644
  • Fax: 833-649-4644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CHARLTON
Title or Position: DIRECTOR
Credential: DR
Phone: 833-649-4644