Healthcare Provider Details
I. General information
NPI: 1922485085
Provider Name (Legal Business Name): INSTANT URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2015
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5138 MONTEREY HWY SUITE G
SAN JOSE CA
95111-4382
US
IV. Provider business mailing address
5138 MONTEREY HWY SUITE G
SAN JOSE CA
95111-4382
US
V. Phone/Fax
- Phone: 408-687-4806
- Fax: 408-687-4817
- Phone: 408-687-4806
- Fax: 408-687-4817
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | 133059 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 133059 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
RAMANDEEP
KAUR
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 408-687-4806