Healthcare Provider Details

I. General information

NPI: 1851668800
Provider Name (Legal Business Name): CARE 1ST PRIMARY AND URGENT CARE CENTER - PALMDALE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2011
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38440 5TH STREET WEST
PALMDALE CA
93551-4684
US

IV. Provider business mailing address

38440 5TH ST W
PALMDALE CA
93551-4498
US

V. Phone/Fax

Practice location:
  • Phone: 661-575-2725
  • Fax: 661-273-2139
Mailing address:
  • Phone: 661-575-2725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. FELIX AGUILAR
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 661-575-2725