Healthcare Provider Details

I. General information

NPI: 1316338619
Provider Name (Legal Business Name): PREMIER URGENT CARE CENTERS OF CALIFORNIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 N INDIAN CANYON DR SUITE #206
PALM SPRINGS CA
92262-4869
US

IV. Provider business mailing address

31938 TEMECULA PKWY SUITE #A337
TEMECULA CA
92592-6810
US

V. Phone/Fax

Practice location:
  • Phone: 760-864-1000
  • Fax: 760-864-1005
Mailing address:
  • Phone: 207-217-5451
  • Fax:

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: DR. DAVID SCOTT JOHNSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 760-864-1000