Healthcare Provider Details

I. General information

NPI: 1740016997
Provider Name (Legal Business Name): TURLOCK URGENT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 COLORADO AVE
TURLOCK CA
95382-2002
US

IV. Provider business mailing address

PO BOX 2906
TURLOCK CA
95381-2906
US

V. Phone/Fax

Practice location:
  • Phone: 209-634-3300
  • Fax:
Mailing address:
  • Phone: 209-585-1066
  • 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: SUSAN P LE
Title or Position: CEO
Credential: MD
Phone: 209-585-1066