Healthcare Provider Details

I. General information

NPI: 1811503519
Provider Name (Legal Business Name): WE CARE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 05/12/2022
Certification Date: 05/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11177 TAMPA AVE UNIT A
PORTER RANCH CA
91326-2254
US

IV. Provider business mailing address

11177 TAMPA AVE UNIT A
NORTHRIDGE CA
91326-2254
US

V. Phone/Fax

Practice location:
  • Phone: 818-850-7129
  • Fax:
Mailing address:
  • Phone: 818-850-7129
  • 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: SARA GREEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 818-636-1201