Healthcare Provider Details
I. General information
NPI: 1871337873
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2024
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10401 SANTA MONICA BLVD
LOS ANGELES CA
90025-6950
US
IV. Provider business mailing address
9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US
V. Phone/Fax
- Phone: 661-829-6747
- Fax:
- Phone: 661-829-6747
- Fax:
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 | |
VIII. Authorized Official
Name:
ARTIN
MASSIHI
Title or Position: OWNER
Credential: MD
Phone: 661-829-6747