Healthcare Provider Details

I. General information

NPI: 1740592088
Provider Name (Legal Business Name): PASADENA COMMUNITY URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 E DEL MAR BLVD SUITE 100
PASADENA CA
91107-4649
US

IV. Provider business mailing address

133 N ALTADENA DR 2ND FLOOR
PASADENA CA
91107-7325
US

V. Phone/Fax

Practice location:
  • Phone: 626-270-2400
  • Fax: 626-270-2499
Mailing address:
  • Phone: 626-397-8335
  • Fax: 626-397-8337

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: WENDY KARSTEN
Title or Position: CEO
Credential:
Phone: 626-397-8335