Healthcare Provider Details

I. General information

NPI: 1174819239
Provider Name (Legal Business Name): QUALITY URGENT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 E LOS ANGELES AVE
SIMI VALLEY CA
93065-3503
US

IV. Provider business mailing address

1950 E LOS ANGELES AVE
SIMI VALLEY CA
93065-3503
US

V. Phone/Fax

Practice location:
  • Phone: 805-306-8800
  • Fax: 805-306-8809
Mailing address:
  • Phone: 805-306-8800
  • Fax: 805-306-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: CINDY K. BOYLE
Title or Position: NURSE MANAGER
Credential: R.N. CNOR
Phone: 805-306-8800