Healthcare Provider Details

I. General information

NPI: 1770406886
Provider Name (Legal Business Name): MEDLIFE URGENT CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11686 THE PLAZA
NORWALK CA
90650
US

IV. Provider business mailing address

11686 THE PLAZA
NORWALK CA
90650
US

V. Phone/Fax

Practice location:
  • Phone: 562-219-4903
  • Fax: 562-219-4904
Mailing address:
  • Phone: 562-219-4903
  • Fax: 562-219-4904

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: MOHAMMAD MODASSIR SIDDIQUI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 562-219-4903