Healthcare Provider Details

I. General information

NPI: 1154414852
Provider Name (Legal Business Name): ASSURED HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 W 8TH ST
NATIONAL CITY CA
91950-1002
US

IV. Provider business mailing address

408 W 8TH ST
NATIONAL CITY CA
91950-1002
US

V. Phone/Fax

Practice location:
  • Phone: 619-474-8666
  • Fax: 619-474-3025
Mailing address:
  • Phone: 619-474-8666
  • Fax: 619-474-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License NumberG024691
License Number StateCA

VIII. Authorized Official

Name: ALEX K HAN
Title or Position: MD
Credential:
Phone: 619-474-8666