Healthcare Provider Details

I. General information

NPI: 1538772843
Provider Name (Legal Business Name): UNLIMITED URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 08/26/2020
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8781 VAN NUYS BLVD STE A
PANORAMA CITY CA
91402-2401
US

IV. Provider business mailing address

8781 VAN NUYS BLVD STE A
PANORAMA CITY CA
91402-2401
US

V. Phone/Fax

Practice location:
  • Phone: 818-920-0303
  • Fax:
Mailing address:
  • Phone: 818-920-0303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHFOUZ MONIR MICHAEL
Title or Position: CEO
Credential: MD
Phone: 323-999-8267