Healthcare Provider Details

I. General information

NPI: 1447970546
Provider Name (Legal Business Name): MEDPARTNERS URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4418 VINELAND AVENUE
TOLUCA CA
91602-3457
US

IV. Provider business mailing address

4418 VINELAND AVENUE
TOLUCA CA
91602-3457
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-7145
  • Fax: 818-953-2839
Mailing address:
  • Phone: 818-842-7145
  • Fax: 818-953-2839

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: MICHAEL D MARSH
Title or Position: PRESIDENT
Credential: MD
Phone: 818-842-7145