Healthcare Provider Details

I. General information

NPI: 1740655208
Provider Name (Legal Business Name): DOWNTOWN URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 S SAN PEDRO ST
LOS ANGELES CA
90012-3808
US

IV. Provider business mailing address

269 S SAN PEDRO ST
LOS ANGELES CA
90012-3808
US

V. Phone/Fax

Practice location:
  • Phone: 213-947-3600
  • Fax: 213-947-3622
Mailing address:
  • Phone: 213-947-3600
  • Fax: 213-947-3622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PEJMAN BOLOURIAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 714-533-2273