Healthcare Provider Details

I. General information

NPI: 1346177912
Provider Name (Legal Business Name): FOOTHILL URGENT CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8027 FOOTHILL BLVD
SUNLAND CA
91040-2957
US

IV. Provider business mailing address

8027 FOOTHILL BLVD
SUNLAND CA
91040-2957
US

V. Phone/Fax

Practice location:
  • Phone: 747-342-0022
  • Fax: 747-342-0222
Mailing address:
  • Phone: 747-342-0022
  • Fax: 747-342-0222

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: EDWARD DAVTYAN
Title or Position: CEO
Credential: MD
Phone: 747-342-0022