Healthcare Provider Details

I. General information

NPI: 1225407596
Provider Name (Legal Business Name): TUSTIN URGENT CARE, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17612 E. 17TH ST
TUSTIN CA
92780-1937
US

IV. Provider business mailing address

17612 E. 17TH ST
TUSTIN CA
92780-1937
US

V. Phone/Fax

Practice location:
  • Phone: 714-243-5450
  • Fax: 714-838-8944
Mailing address:
  • Phone: 714-243-5450
  • Fax: 714-838-8944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZAID NOMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-243-5450